DoD Section 508 Form

DoD Section 508 Issues and Concerns

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**IMPORTANT**

This form is for INDIVIDUALS WITH DISABILITIES, such as sight or hearing impairment, whose assistive technology is having difficulty accessing Department of Defense information and communications technologies, according to Section 508 of the Rehabilitation Act, as amended in 1998.

If you are having non-disability-related issues with a website login, password reset, web services, or web applications, please do not use this form. Instead, please contact your technical support, help desk or the site’s webmaster for assistance.

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First Name

*

(required)

Last Name

*

(required)

Email Address

*

(required)

Component Name

Org Name

(leave blank if not a government organization or affiliate)

Description of Section 508 related issue or concern: (e.g. website inaccessible with assistive technology, lack of video captions, inaccessible public-facing document, etc.)

*

(required)

Submit

The information that you provide on this form is not entered into a system of records and will only be used to respond to your reported issue. Information will only be shared with another government agency if your inquiry relates to that agency, or as otherwise required by law. Your information will not be given to any non-government organizations or used for commercial marketing. While you must provide an e-mail address for a response to your Section 508 issue, do not include any other personal or personally identifiable data, including your specific disability, Social Security number or date of birth.