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Title II Americans with Disabilities Act (ADA) Complaint Form

  1. Phone number where you can be reached between 8 a.m. to 5 p.m.

  2. Is this a TDD number

  3. By typing in your name here, you are signing this document.

  4. If you need assistance completing this form or require a different format or other accommodation, please contact the ADA Coordinator at 303.438.6231 or ada@broomfield.org.

  5. Please allow up to 45 days for us to investigate and respond to your complaint.

  6. Leave This Blank:

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