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/

First Name

Last Name

E-mail Address

Mailing Address

City

State

Zip Code

Phone Number

Date

Please explain your complaint. Please provide the date, location, name and address of the public entity that the complaint is against, and a description of the barrier you encountered.

We cannot accept your complaint without a signature, so please type or sign your full name.

Signature

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ADA Complaint