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Please complete the form and submit it within sixty (60) business days of any incident to the City of Gainesville's ADA Coordinator.
Check all that apply.
Space provided for explanation of other type of grievance.
Please complete the contact information for the reporting individual.
Please complete the contact information for the authorized representative of reporting individual, if any.
Have attempts been made to resolve the complaint through a City Department?
If yes, please describe the efforts that have been made.
What action do you want taken?
Please upload photos or supporting documentation for your grievance.
If you need assistance, require an accessible format, or have questions about this form, please contact the ADA Coordinator for the City of Gainesville.
City of Gainesville,
Attn: Leah Gore, ADA Coordinator
200 S Rusk Street
Gainesville, Texas 76240
Phone: (940) 668-4590
Fax: (940) 668-4588
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