SSP_HS_Disabilities

ADA Grievance Form

Email Information

This Form may be used by any individual to file a complaint alleging discrimination on the basis of disability in meetings, services, programs or activities in the City of Boston under Title II of the ADA. Alternate means of filing a complaint, such as personal intervews or tape recordings are available upon request for people with disabilities. All complaints will be kept on file for a minimum of 3 years.

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* Your email address is required to submit a service request online. When entering emails please use a properly formatted email address (i.e. include a "@"). If this is the first time you use this email address you will be prompted in the next page to enter your name and phone number.

If you prefer to remain anonymous, please call us at the Mayors Commission for Persons with Disabilities at (617) 635-3682.

Information you provide to the City is subject to the City of Boston Government Data Privacies Act. This law classifies certain information as available to the public on request. See our privacy statement at http://www.cityofboston.gov/copyright/privacyandsecurity.asp for more information.