ADA grievance form

The county has developed a grievance procedure to ensure that accessibility concerns are resolved quickly and fairly, as outlined in the Americans with Disabilities Act (ADA).

Fill out the form and click "submit." If you have issues with the form, or to file an oral grievance, call 612-348-7741.

Share your accessibility concerns

Person filing grievance

Name (required) Date (required) Address (required) City (required) State (required) Zip (required) Primary phone number (required)

Format as xxx-xxx-xxxx.

Email (required) Confirm email (required) Is the person claiming the accessibility issue the same as the person filing the grievance? (required) Yes No

Person claiming accessibility issue

Name Address City State Zip Primary phone number Email address

Issue

Description of issue (e.g. crosswalk, website, building concerns) and remedy sought

Character limit is 1000.

Has this complaint been filed with another agency? (required) Yes No

Other agency information

Agency or court Complainant name Address City State Zip Primary phone number Date filed