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ADA Accessibility Grievance Form
Leave This Blank:
If you prefer to complete the form and mail it to us, you may
download a printable Grievance Form here.
Name:
*
Address:
*
City:
*
State:
*
Zip Code:
*
Phone:
*
Email Address:
Please provide a
complete
description of your grievance.
*
Did you notify park staff or other CCPRC employee of your grievance?
*
Yes
No
If yes, were they responsive to your needs?
Yes
No
Please state what you think should be done to resolve the grievance:
Please attach additional documentation if necessary.
* indicates required fields.
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