TOWN OF CORTE MADERA
ADA POLICY
POLICY ON REPORTING AND
RESOLVING AMERICANS WITH DISABILITIES ACT (
GRIEVANCES AND ACCESSIBILITY
COMPLAINTS WITHIN THE TOWN
INSTRUCTIONS TO COMPLETE THE
Put a check mark in the box for the type of grievance
or complaint.
1.
Sidewalk. Grievance or complaint concerning the sidewalk slope,
width, type of surface finish, obstructions, etc. Sidewalk is the concrete
access path of travel adjacent or parallel to the street.
2.
Curb Ramp. Grievance or complaint concerning curb ramp
width, slope, landings, finish, grooved border, etc. Curb ramp is located
generally at the corner of street intersections and where a pedestrian way
crosses a curb.
3.
Traffic Control and Devices. Grievance
or complaint concerning traffic signals, signage, pavement markings and
legends, crosswalks, etc.
4.
Parks and Recreational Facilities.
Grievance or complaint concerning accessibility to the Town’s parks and
recreational facilities or equipment and appurtenances at these facilities not
meeting
5.
Town’s Services. Grievance or complaint concerning inaccessibility
or non-availability to the disabled community of services provided by the Town
to those members of the public not having disabilities.
6.
Town’s Activities. Grievance or complaint concerning people with
disabilities being excluded from participation in, or being otherwise
discriminated against by, Town’s activities.
7.
Parking. Grievance or complaint concerning handicapped
parking, signage, visibility, availability, etc.
8.
Others. Grievance or complaint that is not among those
listed above. In the space provided, please give a general description of the
complaint or grievance. Please provide more specific detail in Section IV of
the form.
Section II. Complainant Information
This section is to be filled out by the
complainant himself or herself.
On the lines provided next to each item, fill in the
complainant’s name, address, telephone number, and email address. If no
information is to be provided, please leave the space blank, or put “N.A.”, or
“Not Applicable”.
Section III. Association/Group or Proxy
Information
Put a check mark in the corresponding box if the
complainant is an association or group, or if an individual proxy is filling out
the form on behalf of the main complainant.
On the lines provided next to each item, fill in the
association/group or proxy’s name, address, telephone number, and email
address. If no information is provided, leave the space blank, or put “N.A.”,
or “Not Applicable”.
Section IV. Nature of Grievance or Complaint
On the lines provided, describe the nature, cause,
or reasons for the grievance or complaint. If more space is needed, please
write/type at the back of the page, or write/type on separate sheet(s) of
paper.
Section
V. Sketch or Location of Complaint
In the space provided, show by sketches or
drawings the subject of the grievance or complaint. The location of the grievance
or complaint can also be shown as a street address, street intersection, or
nearest landmark.
Section VI. Recommendation by Complainant
On the lines provided, describe the complainant’s
recommendation, solution, or suggestions to resolve the grievance or complaint.
The recommendation can be in the form of physical alteration or improvements, policy
or procedural changes, or other methods to comply with the requirements of
Section VII. Signature and Date
The person filling out the form should sign and
date where indicated.