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Org website COMPLAINANT INFORMATION Name Date Home Address Work Email Optional Home Phone Work Phone Optional Home Email Optional 1. Please submit this form to Montgomery County Kansas ADA Coordinator you may find contact information for the individual appointed as the county s ADA Coordinator at mgcountyks. Kansas ADA Notice of Complaint Form 3. Please describe the alleged denial of services activities programs or benefits your reason s for concluding that the conduct is in violation of ADA...
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