Get Butte County Ada Statement Of Complaint Form

Filing a complaint regarding accessibility issues is an important step towards ensuring equitable treatment for all individuals. This guide provides clear, step-by-step instructions to help you fill out the Butte County ADA Statement Of Complaint Form online effectively.

Follow the steps to complete the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your name in the designated field. This personal information helps to identify you as the person making the complaint, though it is optional.
3. Provide your address, email, and phone number in the respective fields. While these details are optional, including them can facilitate communication regarding your complaint.
4. Indicate your preferred method of contact by selecting one of the options: email, no contact requested, or phone.
5. Specify your relationship to the county by choosing from the given options: citizen, disability rights organization, vendor, county employee, or other. If you select 'other', provide a brief explanation in the space available.
6. Fill in the date and place where the occurrence took place, including the street address.
7. List the names and titles of any county employee(s) and/or facility involved in your complaint.
8. If applicable, provide the address or location of the county property if it is not a designated county facility.
9. Articulate your statement of complaint in the provided section. You can attach additional sheets if you require more space to explain your concerns.
10. Clearly specify what action you are requesting regarding your complaint. Being precise in this section can help address your concerns effectively.
11. After completing the form, review your entries for accuracy and completeness.
12. Finally, save any changes, download, print, or share the completed form as needed.

Take action now and complete your complaint form online to ensure your concerns are addressed.