UCLA strives to create and maintain an accessible and welcoming enviornment for individuals with disabilities. To ensure that UCLA meets this expectation and responsibility, this form can be used by the UCLA community to report various accessibiltiy barriers across the university, including instructional, technological, or physical, that limit access to the unviersity's facilities, programs, academics, or digital footprint.
Please fill in as much information as you can regarding your concern. The form will be reviewed by UCLA's ADA Coordinator and/or the appropriate staff member in the Center for Accessible Education during normal business hours.
In the event of an emergency, please call UCPD or dial 911. Complete this form after reporting the emergency. UCPD can be reached for non-emergency assistance at (310) 825-1591.
Reports of disability discrimination or discrimination, harassment, or retaliation based on protected characteristics (e.g., disability, sex, gender, ethnicity, religion) should be reported through
UCLA's Report an Incident form.
By providing your name and contact information, you consent to receiving a confirmation of your report, and potential follow-up information and questions regarding the barrier report. The report will be provided to the appropriate department based on the type of barrier selected. Please note, barrier removal may be added to a larger university barrier removal plan.
Submission of this form does not constitute a formal complaint, grievance, or request for academic or workplace accommodation. Its intent is only to assist in identifying and addressing barriers to access.