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ADA Complaint
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ADA Complaint
ADA Complaint
ADA Complaint Form
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
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
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