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CSUB Section 504 Grievance Form Name: ____________(If the grievance is filed by more than one person, all such persons must be identified) Phone Number: () ___Address: ___ City: ___ State: ___ Zip
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How to fill out adasection 504 grievance form

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How to fill out adasection 504 grievance form

01
Obtain the ADA Section 504 grievance form from your institution's website or office.
02
Fill in your personal information, including your name, address, phone number, and email.
03
Provide details about the discrimination or grievance you are reporting, including dates and locations.
04
Clearly explain how the situation affected your ability to participate in programs or activities.
05
Include any attempts you have made to resolve the issue prior to submitting the form.
06
Sign and date the form to verify that the information you have provided is accurate.
07
Submit the completed form to the designated ADA coordinator or office within your institution.

Who needs adasection 504 grievance form?

01
Individuals who believe they have been discriminated against based on a disability.
02
Students, employees, or visitors at institutions that receive federal funding.
03
Anyone seeking to address grievances related to failure to provide reasonable accommodations.
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The ADA Section 504 grievance form is a document used to formally report grievances related to discrimination based on disability in programs and activities that receive federal financial assistance.
Any individual who believes they have been discriminated against on the basis of disability in a program or activity covered by Section 504 is required to file the grievance form.
To fill out the ADA Section 504 grievance form, provide your contact information, a clear description of the grievance, details about the incident, and any supporting evidence. Be sure to sign and date the form before submission.
The purpose of the ADA Section 504 grievance form is to facilitate the reporting and investigation of complaints related to disability discrimination, ensuring compliance with federal regulations.
The form typically requires information such as the name and contact details of the complainant, description of the grievance, date of the incident, the individuals involved, and any relevant documents or evidence supporting the complaint.
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