Section 508 Self-Evaluation

Identification of Designated Agency Official

Please fax this form by February 1, 2001, to:

Section 508 Coordinator
Disability Rights Section
Civil Rights Division
U.S. Department of Justice

Telephone:
(202) 305-8304 (voice mail)
(202) 353-8944 (TTY mail)

Fax: (202) 307-1198

No cover sheet is needed.







Choose one of the following:

box We wish to nominate our existing Section 508 Coordinator (named at http://www.section508.gov/coord.html) as our Designated Agency Official for the purposes of the 2001 Section 508 Self-Evaluation.

box We wish to name the following person as our Designated Agency Official for the purposes of the 2001 Section 508 Self-Evaluation:

Name:

Title:

Agency:

Telephone:

Fax:

E-mail address: