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ADA Complaint Form

  1. Please include an address or description of where this complaint occurred.

  2. Please list names of or, or describe, all persons associated with your complaint.

  3. Please describe any evidence or documentation related to this incident.

  4. Supporting documents

    Please attach any documents, photos, etc. related to this incident. These fields are optional. If you only have one document to attach, please use the "Document 1" field.

  5. Please describe how this situation might be improved.

  6. Leave This Blank:

  7. This field is not part of the form submission.