ADA Request for Solution

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Please complete the form and submit it within 60 calendar days of the incident or decision to which this complaint relates to. If you need assistance, require an accessible format or have questions about this form, please contact the ADA Coordinator at 480-782-3402 or 7-1-1 via AZ Relay Service.

Type of Grievance (Check All That Apply)
Contact Information

Reporting Individual
Authorized Representative of Reporting Individual (if any)
Details of Complaint/Incident

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