Citizen Complaint Form Americans with Disabilities Act Plan

This form is for citizens under Title II of the Americans with Disabilities Act and the Town's ADA Plan.
Please fill out this form completely. You may submit it online or download the form HERE and mail it in or drop it off at Town of Jonesborough Town Hall - 123 Boone St - Jonesborough, TN 37659
If you are unable to complete this form due to a disability or if require additional information, please contact the ADA Coordinator at 423.753.1031 for assistance and the Town, to the extent possible, will make reasonable accomodations.
Have you previously submitted an "Accommodation Request Form" through the Town of Jonesborough ADA Plan? *
Has the complaint been filed with any agency? *
Signature *
Return to:
Town of Jonesborough
123 Boone Street
Jonesborough, TN 37659
Attention: Phil Fritts, ADA Coordinator
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