Toa Baja, PR · Toa Baja Municipio

No notary required

ADA Discrimination Complaint Form

This form lets a person submit an ADA discrimination complaint to Toa Baja’s Department of Planning and Economic Development, including a complaint filed on someone else’s behalf.

What this form is

The form is for submitting a complaint about discrimination under the ADA to Toa Baja’s Urban Mobility Division. It asks for the complainant’s contact information, accessible-format needs, and whether the complaint is filed on the person’s own behalf. A person filing for someone else is asked to provide their relationship, explain why they are filing, and confirm they have permission.

Who needs it

A person who wants to file an ADA discrimination complaint with Toa Baja, either on their own behalf or for someone else, can use this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

No notary is required; the form text mentions no notarized attachment and gives no signature or date instructions.

How to submit this form

  1. 1

    Download The Form

    Download the ADA discrimination complaint form PDF.

  2. 2

    Complete Your Information

    Fill in your contact details and indicate any accessible-format requirements.

  3. 3

    Complete The Filing Details

    Say whether you are filing for yourself or another person; if filing for someone else, provide the requested relationship, reason, and permission confirmation.

  4. 4

    Submit To The City

    Submit the completed form to the city department named on it; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the ADA discrimination complaint form?
No. This document does not require a notary, and it does not mention any notarized attachment. The form text gives no signature or date instructions.
How do I submit the ADA complaint form?
Submit it to the city department named on the form; check the city website for current contact details.
What information does the form ask for?
It asks for your name, address, telephone numbers, email address, and accessible-format needs. It also asks whether you are filing for yourself or someone else.
Can I file a complaint for someone else?
Yes. The form asks you to provide your relationship to the person, explain why you are filing for them, and confirm that you have their permission.

Need something notarized?

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