File a Complaint - Building or Facility Information

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File a Complaint - Building or Facility Information

Your Progress:

Status

Step 1 Building or Facility Information

In Progress

Step 2 Accessibility Barriers

Not Started

Step 3 Complainant Information

Not Started

Step 4 Review and Submit

Not Submitted

Step 5 Confirmation

Not Submitted

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Please use the "back" and "continue" buttons at the bottom of your screen.

Please help us to identify the facility by providing at least 1) Building or Facility Name and
2) Either Street Address (or PO Box), City and State OR Street Address (or PO Box) and ZIP.
An asterisk (*) indicates a required field.

Building or Facility Name:*

Street Address (or PO Box):*

Building/Floor/Suite:

Address (cont'd):

City:

State:

ZIP/Postal Code:*
   (If Zip not included, include City and State)

Country:


Building or Facility Telephone:
()  -

United States Access Board
1331 F Street NW, Suite 1000
Washington, DC  20004-1111
(202) 272-0080 (v)   (202) 272-0082 (TTY)   (202) 272-0081 (fax)
(800) 872-2253 (v)   (800) 993-2822 (TTY)

Hidden Fields:

Facility Tel:

doc_type:

Non-US Country:

Non-US Facility:

CTIME:

working_id:

working_id dup:

Fiscal Year:

CNUM:

ACTION TYPE

ACTION_VALUE

CUSR

Update?

Num DOc Types:

ftele 28 29 f_1 f_2 f_3 f_4 f_5 f_6 f_7 f_8 f_9 f_11 f_14 f_16 f_10

fnotes

Comments:

facility doc

facility page

facility form

barrier doc

barrier page

barrier form

complainant page

complainant doc

complainant form

count docs:

check fac

check bar

check comp

check summary