Cleveland Municipal Court Americans with Disabilities Act ADA Grievance Form

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Home > Judicial Services > Administrative Services > Interpreter Services > ADA Notice Under the Americans with Disabilities Act > Cleveland Municipal Court Americans with Disabilities Act ADA Grievance Form

This form may be used by any person who believes that he or she has been the subject of disability-related discrimination by the Cleveland Municipal Court.

Alternative methods of submitting a grievance are available, please contact the ADA Coordinator.

Person filing grievance:

Name

Address:

Telephone:

Date and location of alleged disability-related discrimination:

Please provide a detailed description of the alleged disability-related discrimination:

Please state what you think should be done to resolve the grievance:

Signature

Date

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