ADA Complaint

This form is for American's with Disabilities Act (ADA) Complaints. For general or Title VI complaints, please refer to those forms.

Date
MM slash DD slash YYYY
Time

: Hours

Minutes

AM/PM
Route (if applicable)
Vehicle #
Driver Name
Name
First Last
Email

(In order to be a valid complaint, name and contact information must be completed.)
Phone
Please provide comment(s) below:
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