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Title II Americans with Disabilities Act (ADA) Complaint Form
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Phone number where you can be reached between 8 a.m. to 5 p.m.
Is this a TDD number
Reason for grievance/complaint, or why you feel you have been discriminated against. Please be specific and provide as much information as possible including date, time, location, names of people present, etc.
What do you think should be done?
By typing in your name here, you are signing this document.
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 firstname.lastname@example.org.
Please allow up to 45 days for us to investigate and respond to your complaint.
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