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2. The purpose of this procedure is to provide individuals with a convenient method to report disability access law violations in Mill Valley and to establish a process for resolving as promptly as possible alleged violations of state disabled access regulations in either buildings owned or leased by the City of Mill Valley or that are constructed or altered with city funds, or privately owned public accommodations that are not publicly funded.

4. Disabled Access Investigation
6. Complainant Name
8. Complainant Address
10. Street
12. City
13. Phone Number
15. Email Address
17. Complaint Location
19. Owner(s)
21. Address
23. Street
25. City
26. Phone
28. Description of Complaint
30. Please Choose One or More of the Following

    1. Path of Travel
    2. Parking
    3. Curb Ramps
    4. Stairways
    5. Access to Toilets
    6. Walks and Sidewalks
    7. Doors

    1. Entrances and Exits
    2. Telephones
    3. Water Fountain
    4. Elevators
    5. Signs
    6. Others
32. Other Comments

34. Thank you for taking the time to fill out this form. Once you click on "Submit" this information will go to the ADA Coordinator for the City of Mill Valley.

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36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field