Assistance Information Form - BCPA.OnlineForms.Web.FrontEnd

Assistance Information Form

The Office of the Broward County Property Appraiser (BCPA) is committed to providing access to all users of this website. In facilitating this endeavor, BCPA has implemented the World Wide Web Consortium’s Web Content Accessibility Guidelines 2.0, Level AA (WCAG 2.0, AA) as its standard and is using standards developed for accessibility design set forth by the U.S. Department of Justice under Title II of the Americans with Disability Act (ADA). If you experience any impediment that impacts your ability to access this site and services, you can contact Deputy General Counsel Richard A. Sherman, Jr. at rsherman@bcpa.net and/or complete and submit the assistance form below.

Needs for assistance: Please type a full description of your need for assistance. Include specific names, dates, web address(es) and other pertinent information which may help us in identifying and addressing your concerns.

Date of the incident

The date of the incident is required.

Web address of concern

The web address of concern is required.

First Name

The first name is required.

Last Name

The last name is required.

Address

The property address is required.

Email Address

The email address is required and must be valid.

Daytime Phone Number

The phone number must be valid.

Alternative Phone Number

The phone number must be valid.

Please check this box if filing on behalf of someone else.

Please complete captcha.

By clicking Submit you agree to the following terms and conditions:

1 - The information provided about the name of the person completing the form is correct.
2 - The information provided in the "Description" section is, to the best of my knowledge, true.
3 - If I completed this form on behalf of someone else, I am authorized to do so.