---
title: Accessibility Remediation Service Request Form Template | Paperform
description: Professional form template for requesting website accessibility remediation services. Includes WCAG compliance levels, audit scope, screen reader testing, implementation options, and certification requests.
url: "https://paperform.co/templates/accessibility-remediation-service-request-form"
type: static
generatedAt: "2026-03-28T00:42:57.429Z"
---

[← Back to free form templates](/templates/)    ![Accessibility Remediation Service Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/accessibility-remediation-service-request-form.png)
    [Preview](https://_preview.paperform.co/ai-template/accessibility-remediation-service-request-form) [Use this template for free](/create?ai-template=accessibility-remediation-service-request-form)    [Request Forms](/templates/category/requests/)[SaaS & Startup Forms](/templates/category/saas-startups/)[Information Technology](/templates/category/it/) [E-commerce](/templates/industry/ecommerce/)[Software & SaaS](/templates/industry/software-saas/)[Healthcare](/templates/industry/healthcare/)[Education](/templates/industry/education/)[Nonprofit](/templates/industry/nonprofit/)[Web Design](/templates/industry/web-design/) [Product Manager](/templates/role/product-manager/)[Project Manager](/templates/role/project-manager/)[Manager](/templates/role/manager/)[IT Professional](/templates/role/it-professional/)[Developer](/templates/role/developer/)[Web Designer](/templates/role/web-designer/)[UX Designer](/templates/role/ux-designer/)     About this free form template
### Make Your Digital Properties Accessible to Everyone

Creating an inclusive digital experience isn't just good practice—it's essential for reaching your full audience and meeting legal requirements. Whether you're addressing accessibility compliance gaps, preparing for an audit, or proactively improving your website's usability, our **Accessibility Remediation Service Request Form** helps you communicate your exact needs clearly and efficiently.

This template is designed for **web teams, product managers, marketing professionals, and business owners** who need to request accessibility services from internal teams or external vendors. It captures all the critical details—from WCAG compliance levels and audit scope to screen reader testing requirements and implementation preferences—ensuring nothing falls through the cracks.

#### What This Form Includes

The form guides requesters through specifying their **WCAG level requirements** (A, AA, or AAA), identifying which pages or components need auditing, selecting necessary testing methods including screen reader compatibility, and clarifying whether they need consultation only or full remediation and fixes implementation. You can also request post-remediation certification documentation for compliance reporting.

Built with **conditional logic**, the form adapts based on your selections—showing relevant follow-up questions only when needed. For agencies managing multiple client projects, this creates a standardized intake process that reduces back-and-forth emails and kickoff meetings.

#### Automate Your Accessibility Workflow with Stepper

Once a request is submitted, you can use **[Stepper](https://stepper.io)** to automatically route requests to the appropriate team members, create project tickets in your management system, send client confirmations with estimated timelines, and trigger follow-up tasks for audits and implementation. This keeps your accessibility projects moving efficiently from request to completion.

#### Perfect for Teams Serious About Digital Inclusion

Whether you're in **education, healthcare, government, SaaS, e-commerce, or nonprofit sectors**, accessibility compliance is increasingly non-negotiable. This form template gives you a professional, organized way to initiate remediation work—and with Paperform's design flexibility, you can brand it to match your organization's look and feel perfectly.

Start collecting detailed, actionable accessibility service requests that help you build a more inclusive digital experience for all users.
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