Get Americans With Disabilities Act ( Ada ) Complaint ...

Filing a complaint under the Americans with Disabilities Act can be a straightforward process. This guide provides step-by-step instructions to assist you in completing the ADA Complaint Resolution Form online, ensuring your complaint is effectively communicated.

Follow the steps to complete the ADA Complaint Resolution Form.

1. Use the ‘Get Form’ button to access the document and open it in your online environment.
2. Begin by entering the date of the incident in the designated field. This helps establish a timeline for your complaint.
3. Provide your full name, including your first name, middle initial (if applicable), and last name in the appropriate fields.
4. Fill in your home address, including the city, state, zip code, and your phone number to ensure the ADA Coordinator can contact you if needed.
5. Enter your email address to receive updates regarding your complaint.
6. Indicate the location of the incident by marking the relevant box. If the location is not listed, please specify it in the provided space.
7. In the text area provided, clearly describe the incident you believe was discriminatory and the specific ADA violation. Include names of facilities or individuals involved.
8. State what resolution you are seeking from the ADA Coordinator. Be as detailed and specific as possible.
9. Read through the complainant acknowledgment statement. By signing, you confirm the accuracy of the information you have provided and give consent for its disclosure as part of the investigation.
10. Sign and date the form, certifying that all information is correct.
11. Once completed, save the changes to the form. You may then download, print, or share the document as required. Finally, mail or fax the completed form along with any attachments to the provided address.

Begin your process by filing the ADA Complaint online today.