Lockhart, TX · Caldwell County

No notary required

Americans with Disabilities Act (ADA) Complaint Form

This form lets a complainant or representative provide contact details and report an alleged ADA violation involving a city department.

What this form is

Use this form to lodge a complaint about an alleged violation of ADA requirements involving a city department. It asks for the complainant’s contact information, the responsible department, details and location of the alleged violation, its date, and any known City individuals involved. The signer can recommend corrective action and must sign and date the form.

Who needs it

A person lodging an ADA complaint about an alleged violation involving a city department, or a representative submitting the complaint for them.

How to submit it

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

About notarization

This complaint form is signed and dated without a notary; it lists no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Form

    Download the ADA Complaint Form.

  2. 2

    Complete The Form

    Enter contact information and complaint details, then sign and date the form as the complainant or representative.

  3. 3

    Review Attachments

    The form does not list any attachments.

  4. 4

    Submit To The City

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

Frequently asked questions

What is the ADA Complaint Form for?
It lets a complainant or representative report an alleged ADA violation involving a city department and suggest corrective action.
What information does the form ask for?
It asks for contact details, the responsible department, the alleged violation’s date and location, a description, known City individuals involved, and recommended corrective action.
Do I need a notary for the ADA Complaint Form?
No. The form asks the complainant or representative to sign and date it; it lists no notarized attachment or sworn step.
How do I submit the ADA Complaint Form?
The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Americans with Disabilities Act (ADA) Complaint Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.