Accessibility Feedback Form

The purpose of this form is to improve accessibility in the City. If you believe you have suffered a violation of the Americans with Disabilities Act, you should fill out the Civil Rights Complaint Form. If you currently have a case under investigation in the Civil Rights Department, please wait until investigation concludes to submit an Accessibility Feedback Form.

SUBMITTER INFORMATION

Who is submitting the feedback?*
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What are your pronouns?
Phone
This is a*
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Do you self-identify as a person with a disability?*

Select all that apply.

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Are you submitting this feedback form on behalf of someone else?*
I confirm that I have obtained the permission to complete this form for the person.*

INCIDENT DETAILS

If you have multiple incidents on different dates, please submit each incident separately.

Please provide a detailed description of what happened and who was involved in the incident.

AREA OF FOCUS

Select all that apply.

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Did you submit your complaint to another agency?*
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