Reasonable Accommodation Request Form City of Gardena’s GTrans Please complete this form to request a reasonable accommodation of GTrans’ bus and/or Bolt Powered by GTrans services. Submit the completed form to: Lee Sterling, GTrans Reasonable Modification Coordinator Email: lsterling@gardenabus.com Fax: 310.538.1989 Mail: 13999 South Western Avenue, Gardena, CA, 90249 Name: Today’s Date: Phone Number: Email
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