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ADA Compliance Action Form
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Specific location where you experienced a problem with accessing or using a public facility:
What exactly is the problem?
Nature of the Problem:
An improvement or accommodation is damaged or improperly built in a way that makes it difficult for me to access or use a public facility.
An improvement or accommodation is missing that would make it possible for me to access or use a public facility.
The public facility that is difficult or unable to access or use is:
A City building (Problems with accessing or using buildings under the control of a school district or a county government should be reported directly to those entities.)
A park, including play equipment
A street or sidewalk, including traffic signals and pedestrian crossing signals
Other not included above – e. g. public information kiosks
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