File a Complaint - ADA.gov
If you believe that you or someone else was discriminated against based on a disability, you can file an Americans with Disabilities Act (ADA) complaint against: The nature of your complaint determines where you should file it. The information below …
The purpose of this form is to allow the public to submit civil rights complaints to the Department of Justice, thereby allowing us to enforce over thirty civil rights statutes (https://civilri ghts.justice.gov/privacy-policy#our-statutes) within our authority.
Americans with Disabilities Act Grievance Procedure This grievance procedure is established to meet the requirements of the ADA. It may be used by anyone who wishes to file a complaint alleging discrimination on the basis of disability in the provision of services, activities, programs, or benefits by the (Name of Public Entity).
INSTRUCTIONS: This form should be used when filing a discrimination complaint. Complaints should be discussed with a local Equal Employment Opportunity (EEO) Counselor or Coordinator.
Title II Complaint Form - ADA.gov
Title II of the Americans with Disabilities Act Section 504 of the Rehabilitation Act of 1973 Discrimination Complaint Form. Instructions: Please fill out this form completely, in black ink or type. Sign and return to the address on page 3. Complainant: Address: City, State and Zip Code: Telephone: Home: Business: Person Discriminated Against:
How can I file an ADA complaint with the U.S. Department of ...
You can file an ADA complaint alleging disability discrimination against a state or local government (Title II) or a public accommodation (Title III - including, for example, a restaurant, doctor's office, retail store, hotel, etc.) online, by mail, or fax. Online Complaint Form for Titles II and III (fill out and submit through website)
Instructions: Please complete form. Fields marked with an asterisk (*) are required. *Are you filing this complaint on your own behalf? ___ Yes. *Time of day: *Explain as clearly as possible what happened and why you believe you were discriminated against. Describe all …