Section 508 Self-Evaluation
Identification of Designated Agency Official

Please fax this form by April 12, 1999, to:

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

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

Fax: (202) 307-1198

No cover sheet is needed.

Agency:

The following person has been designated as the official who is responsible for coordinating this agency's Section 508 self-evaluation:

Name: ______________________________________________________________________

Title: _______________________________________________________________________

Telephone: ____________________________

Fax: _________________________________

E-mail address: ________________________