Complaint intake

Tell us what
happened.

Share the facts in your own words. We use this information to understand the barrier, organize the record, and help identify the appropriate path toward accountability.

Guided intake

Build a clear record.

Fields marked with an asterisk are required. You can describe what happened without knowing which ADA title or agency applies.

1 About the incident

Date of incident Type of place or service Organization or location name City and state

2 The access barrier

Choose every category that may apply.

What happened? Include what you asked for, who responded, what was said or done, and how access was affected.0 / 2,500

What accommodation or access did you request?How did the organization respond?

3 Supporting information

Were there witnesses?What records do you have?

Keep original evidence.

Do not alter photographs, recordings, messages, or documents. File uploads will be added with the secure submission system.

4 How we can reach you

Full name Email address Phone numberPreferred contact method

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Tell us whathappened.

Build a clear record.

Accessibility tools

Tell us what
happened.