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ADA Complaint or Grievance Form

ADA Complaint or Grievance Procedure with City of San Jose (PDF)

  • Please note that the City’s ADA grievance procedure and form (below) is limited to the City's facilities, programs, and services, as covered under Title II of the ADA.
  • Upon request, reasonable accommodations will be provided in completing this form, or copies of the form will be provided in alternative formats. Contact the ADA Coordinator at ada@sanjoseca.gov, 408-535-8430 (voice) or 1-800-735-2922 (TTY).

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