City Programs: ADA Complaint / Assistance Form
Please fill out as much of this form as you can. If you need help, tell us, and we would be happy to provide it. If you don't know the answer to something, please leave it blank.
Please note that if you do not provide your contact information, we will not be able to follow-up with you to verify issues in your request or complaint. In particular, if you are making a curb ramp request, we cannot prioritize your request without being able to contact you further.
We will provide a copy of this complaint to the appropriate ADA Coordinator, who will conduct an investigation. We may assist in this investigation and will review the results. We will also assist in attempting to resolve the complaint in a manner that is both satisfactory to you and consistent with applicable law. If you left your contact information, you should receive a written response from the Department within a maximum of 30 days. If you do not, please contact us at (415) 554-6789, TTY: (415) 554-6799, or email email@example.com
For additional information, please contact the Mayor's Office on Disability.