Farmersville, CA · Tulare County

No notary required

ADA Complaint/Grievance Form

Farmersville residents can use this form to describe an ADA complaint or grievance, identify its location, and suggest how they think it should be resolved.

What this form is

The City of Farmersville ADA Complaint/Grievance Form lets a complainant describe a grievance, specify its location if applicable, and state what they think should be done to resolve it. It asks for contact details, information about anyone preparing the complaint on the complainant’s behalf, and a signature and date. Additional pages or photos may be attached as needed.

Who needs it

A person who wants to submit an ADA complaint or grievance to the City of Farmersville can complete this form.

How to submit it

Return the completed form in person or by mail to the Farmersville City Clerk’s Office, Attn: ADA Coordinator, 909 W. Visalia Road, Farmersville, CA 93223.

About notarization

This form is signed and dated without a notary; attach extra pages or photos as needed.

How to submit this form

  1. 1

    Download the Form

    Download the City of Farmersville ADA Complaint/Grievance Form.

  2. 2

    Complete the Form

    Provide your contact details, describe the grievance and its location if applicable, and state what you think would resolve it.

  3. 3

    Gather Attachments

    Attach additional pages or photos as needed.

  4. 4

    Sign and Submit

    Sign and date the form, then return it in person or by mail to the Farmersville City Clerk’s Office.

Frequently asked questions

What is the Farmersville ADA Complaint/Grievance Form for?
It lets a complainant describe an ADA grievance, identify its location if applicable, and state what they think should be done to resolve it.
How do I submit the ADA grievance form?
Return the completed form in person or by mail to the Farmersville City Clerk’s Office, Attn: ADA Coordinator, at 909 W. Visalia Road, Farmersville, CA 93223.
Do I need a notary for the ADA grievance form?
No. The form asks for a signature and date, not notarization. It says extra pages or photos may be attached as needed.

Need something notarized?

This ADA Complaint/Grievance Form doesn’t need a notary — but if you have another Farmersville form that does, a commissioned online notary can help.