ADA Complaint Form

Title II and III of the Americans with Disabilities Act of 1990 (ADA) provide that no entity shall discriminate against an individual with a disability in connection with the provision of transportation service. We will accommodate any reasonable modifications upon request. Please submit any request by submitting any request to our main office via 580-248-5252. All ADA complaints are kept on file for 5 years.

If you feel you have been discriminated against in regards to an ADA transit service issue, please provide the following information in order to assist us in processing your complaint and sent it to:

ADA Coordinator Lawton Area Transit System
611 SW Bishop Rd
PO Box 286
Lawton, OK 73501

Name

Last Name

Address

City

Zip Code

State

Country

Person Discriminated Against If Different From Above:*

Address Of Person Discriminated Against If Different Than Above:*

City

Zip Code

State

Country

Please Indicate Why You Believe The Discrimination Occurred:*

Date Of The Alleged Discrimination?*

Where Did The Alleged Discrimination Take Place?*

Please Describe The Circumstance As You Saw It:

Please List Any And All Witnesses' Names And Phone Numbers:

What Type Of Corrective Action Would You Like To See Taken?

Please Attach Any Documents You Have Which Support The Allegation.

ADA Complaint Form

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