Angleton, TX · Brazoria County

No notary required

ADA Complaint Form Regarding a City Service, Program or Activity

People reporting disability discrimination involving an Angleton city service, program, or activity use this form to describe the incident and request a remedy.

What this form is

Use this form to report a concern about disability discrimination involving a City of Angleton facility, service, program, or activity. It asks for incident details, contact information, the city agency or program involved, witnesses, prior resolution efforts, and any related complaints. The complainant signs and dates the form and may attach supporting documents.

Who needs it

A person wishing to complain about disability discrimination involving a City of Angleton facility, service, program, or activity should complete this form.

How to submit it

Return the completed form to the ADA Coordinator at 121 S. Velasco St., Angleton, TX 77515, email it to [email protected], or fax it to 979-481-5885.

About notarization

This complaint is signed and dated without a notary; supporting documents may be attached, but the form does not require them to be notarized.

How to submit this form

  1. 1

    Download The Form

    Download the City of Angleton ADA Complaint Form.

  2. 2

    Complete The Complaint

    Provide the incident, contact, agency or program, witness, and other requested information.

  3. 3

    Gather Supporting Documents

    Attach any documents you believe support your complaint.

  4. 4

    Sign And Submit

    Sign and date the form, then return it by mail, email, or fax to the ADA Coordinator.

Frequently asked questions

What is the Angleton ADA Complaint Form used for?
It lets a person report disability discrimination involving a City of Angleton facility, service, program, or activity and describe the remedy they seek.
What information does the form ask for?
It asks for contact and incident details, the city agency or program involved, witness information, prior efforts to resolve the concern, and related complaints filed elsewhere.
Do I need a notary for the Angleton ADA Complaint Form?
No. The complaint is signed and dated without a notary. Supporting documents may be attached, but the form does not require them to be notarized.
How do I submit the Angleton ADA Complaint Form?
Return it to the ADA Coordinator at 121 S. Velasco St., Angleton, TX 77515, email it to [email protected], or fax it to 979-481-5885.

Need something notarized?

This ADA Complaint Form Regarding a City Service, Program or Activity doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.