ADA Grievance Form

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ADA Grievance Form

Title II of the American with Disabilities Act (ADA) requires the City of Arvada to have a process and complaint form in place to address matters related to discrimination based on a disability. Please see Arvada’s Title II ADA Grievance Procedure (Policy No. 6300.08) for more information. This discrimination could be lack of facility and program access, attitudinal, or policies and procedures preventing access. If you feel, based on a disability, you have been discriminated against please fill out this form. Please provide as much detail as possible.

Questions, or need an accommodation based on a disability? Call 720-898-7611. Please allow 15 business days to investigate and respond.

Complaint *

Your Name *

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Signature - Please retype your full name to provide an electronic signature.

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