California DOR consumer intake
Optional, consent-based form for people affected by DOR delays or service problems. Submissions go to Amplify’s store contact email for follow-up and de-identified advocacy themes.
Not legal advice. Amplify Accessibility Green Tech Coalition is a California 501(c)(3) nonprofit (EIN 99-3298727), not a law firm. These pages offer administrative self-advocacy information and optional community intake. They do not create an attorney-client relationship.
We describe reported consumer experiences and public campaign asks. We do not accuse any person or office of a crime. For legal advice, talk with a licensed attorney or Disability Rights California’s Client Assistance Program.
Talk to EMILY for help filling out forms
Do not send Social Security numbers, full medical records, or passwords. No file upload is available on this form. Share only what you are comfortable sharing.
Preferred name and phone are optional. Email is requested so we can reply if you want follow-up.
Also consider: Action Network letter · Community survey · Oversight directory
Upload a document or take a photo for EMILY
Privacy: Use EMILY’s in-session tools to help fill forms. Do not upload Social Security numbers or bank details unless a form truly requires them. Amplify does not publish your documents. Camera/upload processing stays in your browser session with EMILY’s existing on-device/widget tools — not a public website post.
Or open Ask EMILY and use the Camera / Upload controls there.
Consent-based consumer intake
Preferred name and phone are optional. Email is requested for replies. No file uploads. Do not send SSNs or medical records.
Do not include Social Security numbers, full medical records, bank numbers, or passwords. This form has no file upload.
Not legal advice. Amplify Accessibility is a 501(c)(3) nonprofit, not a law firm.
Talk to EMILY for help filling out forms · Legislative action · Oversight directory