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ADA Complaint Form


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Section 1 - Complainant Information

Accessible Format Requirements?

Section 2 – Primary / Third Party Information

Are you filing this complaint on your own behalf?*
Please provide the name and relationship of the person for whom you are complaining:
Have you obtained permission from the aggrieved party to file on their behalf?

Section 3 – Basis of Complaint

Section 4 – Contact Information for Complaints Filed Elsewhere

Is this the first time you have filed an ADA complaint with METRO?*
Have you filed this complaint with any other federal, state or local agency or with any federal or state court?*
If you answered ‘Yes’ to the question above, check all that apply:

Please provide information below for a contact person at the agency or court where the complaint was filed:

Acknowledgment*

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