DoD Section 508 Form

DoD Section 508 Issues, Complaints and Concerns Form

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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 Electronic and Information Technology (EIT), 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, 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 disability-related issue or concern.

*

(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 request. 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 question, we recommend that you NOT include any other personal information, especially not your Social Security number and date of birth.

**IMPORTANT**

IMPORTANT