Monroe County, Indiana

Welcoming people from all walks of life.

ADA Grievance Form

 Step 1 of 1

COMPLETE THIS FORM TO SUBMIT AN ADA GRIEVANCE.

The Americans with Disabilities Act (ADA) requires that the Monroe County Government (MCG) make its facilities, programs, and services accessible to persons with disabilities in accordance with the standards of the ADA. If an individual feels that he or she has been unable to access a MCG facility, program or service because of a lack of accessibility or has been discriminated against because of a disability, the individual should complete the ADA Grievance Form. 

If this Submission is something other than an ADA grievance specific to County Buildings and Monroe County Government Programs this submission will be closed with no further action.

Procedure and instructions on how to file an ADA Grievance.

Select this link if you prefer to print and mail this form.

* Denotes a required field

ADA Grievance Form - Monroe County, Indiana

*
Date of Incident*
 Date of Incident
 
 
 
 
 
 
Zip 
-
Second portion of ZIP Code is optional.
Phone 
-- ext
 
*
*
*