Waxahachie, TX · Ellis County
ADA Grievance Form
Individuals alleging ADA discrimination can use this form to describe an incident and request a resolution from the Waxahachie ADA Coordinator.
What this form is
This form lets an individual submit a grievance alleging discrimination under the ADA to the Waxahachie ADA Coordinator. The document says grievances must be submitted no later than 60 calendar days after the alleged incident, though they may also be submitted in another written format, online, or in person. It asks for contact details, incident information, witnesses, and the resolution requested.
Who needs it
An individual alleging discrimination under the ADA may use this form to submit a grievance to the Waxahachie ADA Coordinator.
How to submit it
Submit the grievance directly to the ADA Coordinator at 408 S Rogers St., Waxahachie, TX 75165, or email [email protected]; the form also lists phone 469-309-4000.
About notarization
This form has no notary block; the complainant signs and dates it, with no notarized attachment or related step mentioned.
How to submit this form
- 1
Download The Form
Download the ADA Grievance Form PDF.
- 2
Complete The Form
Provide your contact details, incident information, witness details, and the resolution requested.
- 3
Review And Sign
Sign and date the form before submitting your grievance.
- 4
Submit To The ADA Coordinator
Submit it directly to the ADA Coordinator within 60 calendar days after the alleged incident.
Frequently asked questions
- Do I need a notary for the ADA Grievance Form?
- No. The form has no notary block; the complainant signs and dates it, and it does not mention a notarized attachment or related step.
- How do I submit the ADA Grievance Form?
- Submit it directly to the ADA Coordinator at 408 S Rogers St., Waxahachie, TX 75165, or email [email protected]. The form also lists a phone number.
- What information does the ADA Grievance Form request?
- It asks for contact information, details about the alleged discrimination, witness names and contact information, and the resolution requested.
- When must I submit an ADA grievance?
- The form says grievances must be submitted to the ADA Coordinator no later than 60 calendar days after the occurrence of the alleged incidents.