ADA Complaint Form

In accordance with the requirements of Title II of the Americans with Disabilities Act of 1990, it is unlawful for airport operators and their lessees, tenants, concessionaires, and contractors to discriminate against any person because of disability in public services and employment opportunities.

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Complainant Name*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email*

Date of Incident*

Time of Incident*

Location of Incident*

Name(s) of People Involved

Airport-Affiliated Party Involved*

Nature of Incident*

Proposed Remedy*

Complaint already filed with the U.S. Department of Justice, another government agency, or in court?*

Yes

If Yes, provide contact information of that agency or court and the date the complaint was filed:*

You may attach any written materials or other information that you think is relevant to your complaint.

Max. file size: 50 MB.

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Date

Phone

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