Forms

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

ADA Complaint Form

  1. The City of DeKalb, Voluntary Action Center of DeKalb County (VAC), and DeKalb Sycamore Area Transportation Study (DSATS) are committed to ensuring efficient transit for persons with disabilities, as provided by the Americans with Disability Act. ADA complaints must be filed within 180 days from the date of the alleged discrimination.

  2. The following information is necessary to assist us in processing your complaint. If you require any assistance in completing this form, please contact the City of DeKalb ADA Coordinator at (815) 748-2367. The completed form must be returned to the ADA Coordinator at the City of DeKalb, 200 S. 4th St, DeKalb, IL 60115.

  3. Person with disability (if someone other than complainant):

  4. Which of the following best describes the reason for the alleged discrimination that took place?

  5. Have you filed a complaint with any other federal, state or local agencies?

  6. I affirm that I have read the above charge and that it is true to the best of my knowledge, information and belief.

  7. The ADA Coordinator shall maintain a log of ADA complaints received from this process, which shall include the date the complaint was filed, a summary of the allegations, the status of the complaint, and actions taken by either the City of DeKalb or VAC in response to the complaint. Should the City of DeKalb or VAC receive an ADA complaint in the form of a formal charge or lawsuit, the agency’s attorney(s) shall be responsible for the investigation and maintaining a log as described herein.

  8. Leave This Blank:

  9. This field is not part of the form submission.