Arapahoe County Title II Americans with Disabilities Act Complaint Form

2. First Name*

3. Last name*

5. Address

6. City*

8. Zip Code*

9. State

10. Email Address*

12. Best phone number to reach you

16. Please describe your complaint*

18. Department or Elected Office*

    Please describe the County department or office where the complaint occurred.

    1. General County Departments and Offices
    2. Human Services Department
    3. Sheriff's Office
20. Please upload any files, photos or documentation

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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit Submit and Print

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