Patron, Guest, Participant, and/or Youth (Under Age 17) ADA Accommodation Grievance Process

Patron, Guest, Participant,

and/or Youth (Under Age 17)

ADA Accommodation Grievance Process

If a request for accommodation has been denied and you would like to submit a grievance for further consideration please complete and submit the following information.

First Name of Patron, Guest, Participant, and/or Youth*

This is the name of the person who the accommodation request is for.

Last Name of Patron, Guest, Participant, and/or Youth*

This is the last name of the person who the accommodation request is for.

Name of person completing and submitting the Grievance Form

If different than the person who the accommodation request is for.

Patron, Guest, Participant, and/or Youth Address:

Contact Phone Number:

Contact Email:

Patron, Guest, Participant, and/or Youth ADA Accommodation Request:*

Program, Activity, or Location*

What was the reason given for the ADA Accommodation request denial?

Request Denied Date

Metro Parks Staff Member Name

Who at Metro Parks Tacoma denied the initial ADA Accommodation request?

In Person Grievance Meeting Requested*

Those who are filing a Grievance of a previously denied Accommodation Request may request to have an In-Person Resolution meeting at Metro Parks Tacoma Headquarters that will be scheduled to occur within five (5) business days of the received request. Please select YES below if you are requesting an In-Person Resolution meeting. If you select NO your Grievance will be handled by phone call or email.

YES

Send me a copy of my responses

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