Americans with Disabilities Act (ADA) Complaint Form
If you would like to submit an Americans with Disabilities Act (ADA) Complaint Form alleging discrimination at Public Health – Seattle & King County, please fill out the form below:
Appeals
If the outcome of the complaint investigation does not resolve the issue to the complainant's satisfaction, the complainant and/or his/her designee may appeal the decision within 15 calendar days after receipt of the response to the King County Office of Equity, Racial & Social Justice. Please make your appeal in writing. If needed, arrangements may be made to hear your appeal by other accessible means.
To fairly evaluate your appeal and review your request, please specify:
- the type of request that you made
- the reason the request is needed to accommodate your disability
- the reason your request was denied
- all circumstances pertaining to the complaint
- why you believe your issue was not resolved.
Within 15 calendar days after receipt of the appeal, the Office of Equity, Racial & Social Justice's Civil Rights program will contact the complainant to discuss the appeal and possible resolutions if feasible.
Within 15 calendar days after the meeting, the Civil rights program will respond in writing, and, where appropriate, in a format accessible to the complainant, with a final resolution of the complaint if feasible.
All written complaints received by the ADA and Disability Equity Program Manager, appeals to the King County Office of Equity, Racial & Social Justice, and responses from these two offices will be retained by Public Health - Seattle & King County for at least three years.