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*
Time*

: Hours

Minutes

AM/PM
Service Used (Demand or FLEX)*
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:*