U.S. Department of Transportation
Federal Highway Administration
1200 New Jersey Avenue, SE
Washington, DC 20590
202-366-4000


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Civil Rights

FHWA » Civil Rights » File

FHWA Office of Civil Rights

ADA Complaint

The Federal Highway Administration Office of Civil Rights is responsible for ensuring compliance with Title II of the Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973.

If you have questions about how to prepare a complaint, or to request a hardcopy of this form to submit by U.S. mail, you may contact the FHWA Office of Civil Rights at 202-366-0693 or via email at: FHWA.ADAcomplaints@dot.gov

More information about ADA related civil rights requirements may be found on the FHWA’s website at https://www.fhwa.dot.gov/civilrights/programs/ada/

Section I

I believe that I have been (or someone else has been) discriminated against on the basis of:


Section II

 


 

Section III

Are you filing this complaint on your own behalf?

:

:

Please confirm that you have obtained the permission of the aggrieved party if you are filing on behalf of a third party:

Are you represented by legal counsel for this matter?

If yes, please supply name and contact information:

Have you previously filed a civil rights complaint with FHWA?

Section IV

:

Section V


Are you alleging any of the following? Check all that apply.





:

Section VI

Have you filed this complaint with any of the following agencies?




Have you filed a lawsuit regarding this complaint?

If yes, please provide the :

Important: We cannot accept your complaint without a signature, so please type your first name.

Page last modified on September 24, 2020
Federal Highway Administration | 1200 New Jersey Avenue, SE | Washington, DC 20590 | 202-366-4000