Crawford County, GA · Crawford County
ADA Complaint Form
This form lets a person who believes they experienced disability discrimination submit a complaint to Crawford County Transit for investigation.
At a glance
- Issued by
- City of Crawford County · Crawford County, Crawford County, Georgia
- Notarization
- Not required: file this form without a notary.
- Official source
- crawfordcountyga.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form to report alleged discrimination related to disability and provide information for Crawford County Transit to process the complaint. It asks for contact details, the date and description of what happened, reasons you believe discrimination occurred, and whether you filed with another agency or court. All complaints must use this form; you may attach relevant additional information. The investigation is to be completed within 60 business days of receipt.
Who needs it
A person who believes they experienced disability discrimination and wants to submit a complaint to Crawford County Transit should complete this form.
How to submit it
Send the completed complaint to Crawford County Transit Director, 640 GA Hwy 128, POB 1059, Roberta, GA 31078. The form lists 478-836-3782 and TYY: 711.
About notarization
This document is signed without a notary; the complainant signs and dates the form, and it does not mention a notarized or sworn attachment.
How to submit this form
- 1
Download the Form
Download the ADA Complaint Form.
- 2
Complete the Form
Provide contact details and describe the alleged discrimination, including its date and the reasons you believe it occurred.
- 3
Gather Attachments
Attach additional sheets if the space is insufficient and any other information relevant to the complaint.
- 4
Sign and Date
Sign and date the complainant section.
- 5
Send to Crawford County Transit
Send the complaint to the Crawford County Transit Director at the address listed on the form.
Frequently asked questions
- Who should use the ADA Complaint Form?
- A person who believes they experienced disability discrimination can use this form to provide complaint details to Crawford County Transit.
- What information does the form ask for?
- It asks for contact information, the date and details of the alleged discrimination, reasons you believe it occurred, and whether you filed with another agency or court.
- How do I submit the ADA Complaint Form?
- Send the completed form to the Crawford County Transit Director at 640 GA Hwy 128, POB 1059, Roberta, GA 31078.
- Do I need a notary for the ADA Complaint Form?
- No. The form has a complainant signature and date line but does not require notarization or mention a notarized or sworn attachment.