Belding, MI · Ionia County
ADA Complaint and Reasonable Modification Policy
Belding Dial-A-Ride provides these forms for riders or representatives to report alleged disability discrimination or request a change to transit policies or procedures.
What this form is
This document explains Belding Dial-A-Ride’s ADA complaint and reasonable modification processes and includes forms for submitting either request. The forms ask for contact details, information about the alleged discrimination or requested change, and a signature; the modification form may also require documentation of disability. The policy describes filing by mail, fax, or email and explains how the city responds.
Who needs it
Riders or their representatives can use the complaint form to report alleged discrimination or the modification form to request a change to transit service policies.
How to submit it
Mail, fax, or email the completed form to the Dial-A-Ride ADA Coordinator, Transportation Director, at 100 Depot St., Belding, MI 48809; fax 616-794-0091; or [email protected].
About notarization
This document is signed without a notary; the forms ask the filer to sign and date, and identify no sworn or notarized attachment.
How to submit this form
- 1
Download The Document
Download the policy, which includes an ADA complaint form and a reasonable modification request form.
- 2
Complete The Appropriate Form
Fill in the requested contact and complaint or modification details, then sign and date the form.
- 3
Gather Supporting Documents
For a modification request, include copies of any required documentation of disability; the complaint form also allows copies of relevant documents.
- 4
Send The Form To Dial-A-Ride
Mail, fax, or email the completed form to the Dial-A-Ride ADA Coordinator, Transportation Director, using the contact details listed in the document.
Frequently asked questions
- Do I need a notary for the Belding ADA forms?
- No. The forms ask you to sign and date them, and the document identifies no sworn or notarized attachment.
- How do I submit the Belding ADA complaint or modification form?
- The document says to mail, fax, or email the completed form to the Dial-A-Ride ADA Coordinator, Transportation Director. It lists a mailing address, fax number, and email.
- What information does the complaint form request?
- It asks for contact details, the person discriminated against if different from the complainant, the date and description of the alleged discrimination, and the complainant’s signature and date.
- What information does the modification request form ask for?
- It requests rider and requester contact information, details about the disability and service policy, the requested change, and any required disability documentation.
Need something notarized?
This ADA Complaint and Reasonable Modification Policy doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.