Cedartown, GA · Polk County
ADA Complaint Form (Spanish)
This Spanish-language form lets people submit a complaint about an alleged ADA violation involving Cedartown’s public transportation services.
What this form is
Use this form to report an alleged ADA violation involving Cedartown public transportation services. It asks for the complainant’s contact details, incident information, complaint type, a description of what happened, and any witnesses or supporting materials. The form includes a certification for the complainant to sign and date, and states that the city’s investigation will be completed within 60 days of receiving the written complaint.
Who needs it
People reporting an alleged ADA violation involving Cedartown public transportation services can use this form to document and submit their complaint.
How to submit it
Submit the written complaint to the City Clerk, City of Cedartown, 201 East Avenue, Cedartown, GA 30125. The form also lists the Federal Transit Administration Office of Civil Rights as an address for complaints.
About notarization
This document is signed without a notary; the complainant certifies the information and signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Spanish-language ADA complaint form.
- 2
Complete The Form
Fill in the requested contact, incident, complaint, and supporting information.
- 3
Gather Attachments
Attach any relevant documents, photographs, correspondence, or additional pages.
- 4
Sign And Submit
Sign and date the certification, then submit the written complaint to an address listed on the form.
Frequently asked questions
- Do I need a notary for the ADA complaint form?
- No. The complainant certifies the information and signs and dates the form; no notary is indicated.
- How do I submit the ADA complaint form?
- The form lists the City Clerk, City of Cedartown, at 201 East Avenue, Cedartown, GA 30125, and also provides an address for the Federal Transit Administration Office of Civil Rights.
- What information does the complaint form request?
- It requests complainant and incident details, the type and description of the complaint, witness or supporting information, and information about complaints filed elsewhere.
- Can I attach supporting information?
- Yes. The form says you may attach relevant additional information, including documents, photographs, or correspondence.
Need something notarized?
This ADA Complaint Form (Spanish) doesn’t need a notary — but if you have another Cedartown form that does, a commissioned online notary can help.