Commission on Disabilities

Mission Statement

The Merrimac commission on disabilities (MCOD) mission is to represent the interests of persons with disabilities and promote equal access to community life and activities. The MCOD works to increase awareness, provide education and advocates for the needs of all disabled residents of Merrimac.

Residents can fill out ADA, Policy Requests and Other forms below:

ADA Request

Town of Merrimac Reasonable Accommodation Request Form (Resident)

In order to ensure access to all Town programs, services, and activities, the Town will provide translations, will reasonably modify its policies and procedures, and will provide auxiliary aids and alternative formats to persons with disabilities at no charge. Persons with disabilities who need auxiliary aids and services for effective communication, written materials in alternative formats, or reasonable modifications in policies and procedures in order to access the programs, services, and activities of the Town of Merrimac should directly contact the ADA Coordinator no later than two (2) business days before the scheduled event.
Address
Name
This field is for validation purposes and should be left unchanged.

Robert Sinibaldi, ADA Coordinator
commissioner@townofmerrimac.com

The Town of Merrimac is committed to providing reasonable accommodations for qualified individuals with disabilities in a fair and equal manner and in accordance with applicable federal and state law unless doing so represents an undue hardship.

EO Policy Request

Town of Merrimac Equal Opportunity (EO) Policy- Reasonable Accommodation Request (Employees)

Name
This field is for validation purposes and should be left unchanged.

Return this form to:
Robert Sinibaldi, ADA Coordinator commissioner@townofmerrimac.com

4 School Street
Merrimac, MA 01860

The Town of Merrimac is committed to providing reasonable accommodations for qualified individuals with disabilities in a fair and equal manner and in accordance with applicable federal and state law unless doing so represents an undue hardship

Grievance Form

Town of Merrimac Americans with Disabilities Act (ADA) Grievance Form

Purpose: Use this form to file a grievance if you find that the Town of Merrimac has not provided adequate accommodations for disability. Please complete this form and submit to the contact mentioned below.
Name of Grievant
Person Preparing Grievance (if different from Grievant):
Full Address of Grievant
Max. file size: 50 MB.
(DOC, DOCX, XLS, XLSX, TXT)
This field is for validation purposes and should be left unchanged.

Grievances shall be submitted online or in writing to:
Robert Sinibaldi, ADA Coordinator commissioner@townofmerrimac.com

4 School Street
Merrimac, MA 01860

Hard copies are available at the Town Offices. Upon request, reasonable accommodations will be provided in completing this form.