Tom Green County, TX · Tom Green County
ADA Compliance Complaint Form
Tom Green County residents can use this form to report an accessibility complaint involving a county entity, department, or organization.
At a glance
- Issued by
- City of Tom Green County · Tom Green County, Tom Green County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- tomgreencountytx.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form lets a complainant describe an alleged accessibility violation and request a resolution. It asks for contact details, the entity involved, the incident location and date, the nature of the complaint, and a description of what happened. It also provides space for witnesses and supporting documentation, then asks the complainant to certify, sign, and date the information.
Who needs it
A person who wants to report an accessibility complaint involving an entity, department, or organization can complete and submit this form.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This complaint is signed and dated without a notary; the form identifies no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download the Form
Download the ADA Compliance Complaint Form.
- 2
Complete the Complaint
Enter contact and incident information, describe the complaint, and state the resolution you are requesting.
- 3
Gather Supporting Documents
If applicable, gather supporting records such as photographs, correspondence, accommodation requests, or witness statements.
- 4
Sign and Date
Certify that the information is true and accurate to the best of your knowledge, then sign and date the form.
- 5
Submit to the County
Submit the form to the county department named on it; check the county website for current contact details.
Frequently asked questions
- What is the ADA Compliance Complaint Form for?
- Use it to report an alleged accessibility violation, describe the complaint, and request a resolution from the relevant entity, department, or organization.
- What information does the complaint form ask for?
- It asks for complainant and incident details, the nature and description of the complaint, any requested resolution, optional witness and supporting-document information, and a signed certification.
- Do I need a notary for the ADA Compliance Complaint Form?
- No. The form calls for a signature and date, but does not identify a notarized or sworn attachment. The signer just signs and dates it.
- How do I submit the ADA Compliance Complaint Form?
- Submit it to the county department named on the form. The form does not provide contact details, so check the county website for current information.