Complaint of ADA Noncompliance

If you'd like to submit an ADA Noncompliance Complaint, please fill out the form.
Thank you!

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Date

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Name *

Address *

Telephone *

Preferred Method of Contact

1. Please specify the City Division responsible for noncompliance for which you would like to lodge a complaint: *

2. Please describe the problem you encountered: *

3. Date the alleged violation occurred:

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4. Location where the alleged violation occurred: *

5. Please provide the names, if known, of any individuals at the City involved in the problem you encountered:

6. What change would you wish to see that would be helpful in solving this problem? *

Signed: *

Contact Information