Retail Store Customer Accessibility Accommodation Request Form
About this free form template

Make Your Retail Store Truly Accessible with Paperform

Creating an inclusive shopping experience isn't just good practice—it's essential for modern retail businesses. This Retail Store Customer Accessibility Accommodation Request Form helps your store proactively meet the needs of customers with disabilities, demonstrating your commitment to accessibility while ensuring every shopper feels welcomed and supported.

Why Accessibility Accommodations Matter in Retail

Customers with disabilities represent a significant portion of the shopping population, and their loyalty often depends on how well businesses anticipate and respond to their needs. Whether someone requires shopping assistance, large-print price tags, sensory-friendly shopping hours, or clear service animal policies, having a streamlined accommodation request process shows you're serious about inclusion.

This Paperform template makes it simple for customers to communicate their specific needs before they visit or while they're in-store. Your team receives clear, actionable information that helps them prepare appropriate accommodations—from arranging personal shopping assistance to providing materials in accessible formats.

How This Form Supports Your DEI Initiatives

Built specifically for retail environments, this form captures essential details about the type of accommodation needed, preferred shopping times, mobility considerations, communication preferences, and service animal requirements. The conditional logic ensures customers only see relevant questions based on their specific needs, making the experience respectful and efficient.

Once submitted, accommodation requests can automatically flow into your Stepper workflows to notify the appropriate staff members, schedule assistance, prepare materials, or update customer profiles in your CRM. This automation ensures no request falls through the cracks and demonstrates your store's responsiveness to accessibility needs.

Perfect for Retailers Committed to Inclusion

This template is ideal for department stores, specialty retailers, grocery stores, shopping centers, and any retail environment serving diverse customer communities. Whether you're implementing a new accessibility program or improving existing services, Paperform's flexible platform lets you customize the form to match your specific accommodations, brand voice, and operational workflows.

With Paperform's professional design capabilities, your accommodation request form becomes an extension of your brand's commitment to inclusion—not an afterthought. The form can be embedded directly on your website's accessibility page, shared via QR codes in-store, or sent to customers who inquire about accommodations.

Trusted by retailers worldwide, Paperform is SOC2 Type II & GDPR compliant, ensuring sensitive accommodation requests are handled securely and professionally. Start creating a more accessible shopping experience today.

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deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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