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DISABILITY RIGHTS & SERVICES COMPLAINT REGISTRATION FORM Belleville General Ordinance Chapter 6:261 prohibits a person with a disability from being denied either full access or full participation
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How to fill out disability rights services complaint

To fill out a disability rights services complaint, follow these steps:
01
Gather information: Collect all relevant details regarding the incident or issue that you are filing a complaint about. This may include dates, times, names of individuals involved, and any evidence or documentation you have.
02
Identify the appropriate agency or organization: Determine which agency or organization is responsible for handling disability rights services complaints. This could be a local government agency, a non-profit organization, or a specific division within a larger organization.
03
Obtain the complaint form: Contact the relevant agency or organization to request the official complaint form. This form is typically available online or can be requested by phone or in person. Make sure to ask if there are any specific instructions or requirements for filling out the form.
04
Provide personal information: Fill out the complaint form with your personal information, including your name, contact information, and any identifying details necessary. Ensure that the provided information is accurate and up-to-date.
05
Describe the issue or incident: In a clear and concise manner, explain the details of the problem or incident you are filing a complaint about. Be specific and provide as much relevant information as possible. Use objective language and avoid making generalizations or assumptions.
06
Attach supporting documents: If you have any supporting documents, such as medical records, emails, photographs, or witness statements, include copies of these materials with your complaint. Make sure to keep the original documents for your own records.
07
Sign and date the complaint: Once you have completed the complaint form and attached any necessary documents, sign and date the document. This signature serves as your affirmation that the information provided is true and accurate to the best of your knowledge.
08
Keep a copy: Make sure to keep a copy of the completed complaint form and all attached documents for your own records. This will serve as a reference in case you need to follow up on the complaint or provide additional information later on.
Who needs a disability rights services complaint? Individuals who have experienced discrimination, denial of services, or other violations of their disability rights may need to file a disability rights services complaint. This could include people with disabilities, their family members or caregivers, advocacy organizations, or concerned community members who have witnessed such violations. The intention of filing a complaint is to seek resolution, rectify the issue, and ensure that disability rights are protected and upheld for all individuals.
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