No description provided for imageAccessibility Complaints American with Disabilities Act (ADA) Complaint Form Name* First Last Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email* What issues are associated with your complaint?* Employment Public Access Other When did the alleged discrimination occur?* MM slash DD slash YYYY Where did the alleged discrimination occur?*Describe what happened:*Were there any witnesses to the alleged discrimination?* Yes No If yes, Please provide witnesses names and contact number:Have efforts been made to resolve this complaint?* Yes No If yes, what is the status?What corrective action do you believe would address your complaint?*Have you filed a previous complaint of alleged discrimination?* Yes No If yes, please describe the incident and when it occurred:Who did you file this complaint with?*Please notify the Airport ADA Compliance Coordinator of any changes of address and telephone number during the period of the investigation.Affirmation* I affirm that the above complaint is true and accurate to the best of my knowledge, information and belief.Name First Last Date MM slash DD slash YYYY CAPTCHAX/TwitterThis field is for validation purposes and should be left unchanged.