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ADA Transportation Complaint Form (Spanish)

Formulario de Queja de Transporte ADA -- El Acto de Americanos con Incapacidades (ADA) prohíbe la discriminación basada en la condición o discapacidad. La información solicitada nos ayudará a procesar su queja.

Su nombre(Required)
Su dirección(Required)
Su dirección de correo electrónico(Required)
Nombre de la persona discriminada (si alguien que no sea el reclamante)
Dirección de la persona discriminada(Required)
¿Ha presentado esta queja con qual quier otra agencia gubernamental? ¿O con algún tribunal federal o estatal?(Required)
Si la repuesta es si marque cada caja que se aplica:

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