ADA Evaluation / Inspection - ADA Consultant Services

Full Name(required)

Email Address(required)

Phone Number(required)

Property Address(required)

Relationship to Property/Business(required) Property Owner

Business Owner

Tenant

Property Manager

Business Operator

Attorney for Owner

Attorney for Operator

Type of Occupancy:(required) Restaurant

Retail Store

State Agency

Gas Station

Office Space

Hotel

Auto Body Shop

Apartment

Other (please specify below in message)

Scope of Evaluation Needed:(required) Both, Interior and Exterior (Highly recommended and the most cost-efficient)

Exterior

Interior (Interior includes all common areas open to the public, only)

Other (please specify below in message)

Square Footage of Property?

Number of Restrooms

How Many Floors?

Number of Elevators

Number of Staircases

Number of Public Parking Spaces

Number of Disabled Parking Spaces

Proposal Made out to Name of Business: Personal

Business

Business Name (if applicable for proposal):

Was There A Lawsuit Filed? Yes

No

Case Number If A Lawsuit Was Filed:

(FOLLOWING QUESTIONS FOR HOTELS/MOTELS SECTION ONLY) Is The Property/Business A Hotel or Motel? Yes

No

Number of Common Area Restrooms

Is There A Breakfast Common Area? Yes

No

Is There A Pool? Yes

No

Number of Rooms:

Number of Accessible Rooms:

Number of Public Parking Spaces:

Number of Disabled Parking Spaces:

Message/Comments/Notes: