Reasonable Modification Accommodation Request Form Please complete this form to request a reasonable modification/accommodation of OCTA’s bus transit services. Submit the completed form to OCTA’s Federal Compliance Officer or Reasonable Modification Coordinator via email at ADAInquiries@octa.net, or via mail at P.O. Box 14184, Orange, CA 92863-1584. First Name Last Name Email Phone Number Address City Zipcode Is this request related to a disability? Yes No Are you able to use OCTA's bus transit services without this modifictaion? Yes No