ADA Accommodation Request

ADA vehicle use on conservation areas

Apply for a Special Use Permit if you have a mobility disability and wish to use a motorized vehicle (including ATVs, ORVs, golf carts, track chairs, and trucks) on conservation areas where public vehicles are not allowed.

Other ADA accommodation requests

Apply using the form below for disability-related accommodation requests pertaining to pre-employment interviews and use or participation in Missouri Department of Conservation (MDC) programs and facilities that the Special Use Permit does not address. Please allow 15 calendar days for us to review and respond to your request.

Questions about this form? Contact Chad John at Chad.John@mdc.mo.gov or 573-522-4115 x3522.

Indicates required field

Accommodation

State the general nature of your disability and accommodation request. This form is not for ADA vehicle use requests; these requests require a Special Use Permit.

Date and Time

Please provide the date and time of day for your request.

Name of Facility or Location

Please provide the name of the facility or location for which you are making your request (Runge Nature Center, George O. White Nursery, etc.).

About You

Name

First

Middle

Last

Suffix

Address

Address 2

City/Town

State

ZIP Code

How can we contact you?

Enter an email address where we can contact you.

Primary Phone

Alternate Phone

Local Contacts

ADA Accommodation Request

ADA vehicle use on conservation areas

Other ADA accommodation requests