Complaints or Grievances

Mecklenburg County's ADA grievance procedure is designed to quickly resolve any problems, complaints or conflicts related to the County’s ADA compliance. Use the form below to submit your complaint to the County's ADA Coordinator.

All complaints or concerns received by County employees shall be directed to the ADA Coordinator within five (5) days of receipt.

The ADA Coordinator has the full authority to investigate complaints and maintains a log of all complaints or concerns submitted. All allegations received will be reviewed within (30) days of receipt.

Use the ADA Grievance Form below to file a complaint.

If you require an alternative means to file a complaint, download a printable version of this form, email the ADA Coordinator or call 980-314-2915.

File a complaint or grievance.

If you require an alternative means to file a complaint, download a printable version of this form, email the ADA Coordinator or call 980-314-2915.

Printable Form

Fillable PDF Form

Your Name

Telephone

Your Email

Preferred Contact Method

Telephone

Your Address

Your City/Town

Your State/Province

Your ZIP Code

Date Incident Occurred

County Department Where Incident Occurred

Facility Name

Facility Address

Facility City/Town

Have you filed a formal complaint with the department?

Yes

If so, please provide the name and phone number of the individual to which you spoke.

Describe nature of grievance (Be specific, list name, dates, locations, etc.)

Explain how you have been discriminated against on the basis of your disability: