Cedartown, GA · Polk County
Transit ADA Complaint Form
This form lets people report alleged ADA violations involving Cedartown transit services and is completed by the complainant or someone filing on another person's behalf.
What this form is
Use this form to report an alleged ADA violation involving City of Cedartown transit services. It asks for complainant and affected-person details, incident information, the type and description of the complaint, witnesses or supporting information, and whether other complaints were filed. The form includes a certification for the complainant to sign and date and says the investigation will be completed within 60 days of receiving the written complaint.
Who needs it
A person reporting an alleged ADA violation involving City of Cedartown transit services, or someone submitting the complaint on another person's behalf, can use this form.
How to submit it
Send 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 a submission address.
About notarization
This document is signed without a notary; the complainant certifies the information is true and accurate to the best of their knowledge and signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Cedartown Transit ADA Complaint Form.
- 2
Complete The Complaint
Fill in the complainant and incident information, select the complaint type, describe what happened, and complete the certification.
- 3
Gather Supporting Information
Attach additional pages or relevant documents, photographs, correspondence, or other information if applicable.
- 4
Sign And Date
Sign and date the certification confirming the information is true and accurate to the best of your knowledge.
- 5
Submit The Complaint
Send the written complaint to the City Clerk at the address listed on the form.
Frequently asked questions
- What does the Cedartown Transit ADA Complaint Form report?
- Use it to report an alleged ADA violation involving City of Cedartown transit services. It asks about the incident, the type of complaint, and any supporting information.
- Who can file this complaint?
- The complainant can complete the form. It also has a section for details about a person affected if someone other than the complainant is involved, including whether the complaint is filed on their behalf.
- Do I need a notary for the Transit ADA Complaint Form?
- No. The complainant signs and dates a certification that the information is true and accurate to the best of their knowledge; the form does not require notarization.
- How do I submit the Transit ADA Complaint Form?
- Send the written complaint to the City Clerk at City of Cedartown, 201 East Avenue, Cedartown, GA 30125. The form also lists the Federal Transit Administration Office of Civil Rights.
Need something notarized?
This Transit ADA Complaint Form doesn’t need a notary — but if you have another Cedartown form that does, a commissioned online notary can help.