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ADA Complaint / Grievance Appeal Form
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ADA Grievance Form
Title II of the Americans with Disabilities Act, Section 504 of the Rehabilitation Act of 1973
Designee Preparing Complaint (if different from Complainant)
Designee's Relationship to Complainant
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Please provide a detailed explanation of why you believe the response from the response from the ADA Coordinator did not satisfactorily resolve your complaint.
Please attach a complete copy of your initial complaint and the response resolution letter from the City's ADA Coordinator.
If you have any additional pages, those can be uploaded here.
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Appeal remedy requested.
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