other_person
(
alias: I am submitting this form for another person:, type: esriFieldTypeString, length: 255, editable: true, nullable: true
, Coded Values:
[yes: Yes]
, [no: No]
)
other_info
(
alias: Person submitting the form:, type: esriFieldTypeString, length: 255, editable: true, nullable: true
)
barrier_type
(
alias: Type:, type: esriFieldTypeString, length: 255, editable: true, nullable: true
, Coded Values:
[Architectural: Architectural Access Barrier - For example, a curb ramp, signage, or building access that presents with a barrier.]
, [Programmatic: Programmatic Access Barrier - For instance, you require a reasonable modification of a policy, practice, or procedure to participate in WVDOT programs and/or services.]
, [Communication: Communication Access Barrier - For example, you require an interpreter, matierials in alternate formats, or other auxiliary aids or services in order to have equal access to information and/or communications related to a WVDOT service and/or activity.]
)
submit_date
(
alias: Date of Submission:, type: esriFieldTypeDate, length: 29, editable: true, nullable: true
)
barrier_note
(
alias: Describe the request or barrier:, type: esriFieldTypeString, length: 255, editable: true, nullable: true
)
extra_contact
(
alias: Have you contacted any county, city, or town officials regarding the Disability Access complaint?, type: esriFieldTypeString, length: 255, editable: true, nullable: true
, Coded Values:
[yes: Yes]
, [no: No]
)