Title II of the Americans with Disabilities Act
Section 504 of the Rehabilitation Act of 1973
Grievance Form

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The following section is to be completed only if the aggrieved person is not the individual completing this form. Skip to next section if this does not apply to you.


Upon request, reasonable accommodation will be provided in completing this form or copies of the form will be provided in alternative formats. Please contact the ADA Compliance Coordinator.