This form is for a City of Pocatello informal complaint procedure, designed to quickly resolve complaints regarding potential violations of the Americans with Disabilities Act. The use of this form is not required to comply with federal regulations and does not initiate a lawsuit or formal complaint procedure. You may file a complaint if you feel that you have been discriminated against due to your disability or are not satisfied with the service you received related to accommodating your disability.
Instructions
- Complaint must be in writing and should contain the name, address, and telephone number of the complainant along with a brief description of the alleged violation(s).
- Please include the actions you wish to see to help resolve the alleged violation(s).
- All complaint forms should be signed.
- The complaint should be submitted by the grievant and/or his/her designee as soon as possible but no later than 60 calendar days after the alleged violation to:
ADA Coordinator, Skyler Beebe
5815 South 5th Avenue, Pocatello, ID 83204
Office: 208-232-5057 / TTY: 711 / Fax: 208-233-5149
Email: sbeebe@pocatello.gov
- The ADA Coordinator will contact the complainant within 15 calendar days after receipt of the complaint to discuss the complaint and will respond in writing within 15 calendar days of the discussion.
Please Note:
- An alternate format of this form may be requested from the ADA Coordinator.
- Using this informal complaint procedure is not a requirement under federal regulations nor does it prevent a complainant from filing a complaint with the appropriate federal enforcement agency.
- Any retaliation, coercion, intimidation, threat, interference, or harassment for filing of a complaint is prohibited and should be reported immediately to the ADA Coordinator.
