Diva International AODA – Alternate Format Request Form

Diva International Inc. is committed to providing accessible, quality services. Communications in alternate formats will be made available upon request within a reasonable time period in a mutually agreed upon format. Please complete and submit the below form by:

Email: info@divacup.com
Mail: Diva International Inc.
222 McIntyre Dr.
Kitchener, ON, N2R 1E8

or call 1-866-444-3482 to submit a request

Alternate Format Request Form

First Name*
Last Name*
Date of Request*
MM slash DD slash YYYY
Phone
Address
City Province
Postal Code
Email*
Document/Communication Support Requested:*
Preferred Format:*
- Large Print
- Braille
- Email
- High contrast hard copy
- Audio
Additional Comments: