Sidewalk Accessibility Grievance Form

Telephone Number or Email Address is required.
E-Mail Address or Telephone Number is required.

COMPLAINT

Information provided in a grievance or complaint may be subject to public disclosure as part of the Willits v. City of Los Angeles Settlement Agreement.

Please sign the Sidewalk Accessibility Grievance Form with your name. By signing this document, you are verifying that the content you are submitting is correct.

Instructions: If you do not wish to submit your grievance online, please fill out this form in black ink or type, sign and return (mail, fax or e-mail) to the address as listed.

Mail, fax or e-mail the completed form to the following address:
Department on Disability, Disability Access and Services ADA Compliance Officer
201 North Figueroa Street, Suite 100 Los Angeles, CA 90012
Fax: (213) 202-2715
dod.srpar@lacity.org

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