HR - ADA Title II Grievance Form

ADA Title II Grievance Procedure Complaint Form

If you believe that you were denied access to a County facility, program or service due to a disability, please complete and submit this eform, or you can also file a grievance by phone, fax or e-mail using the contact information below. If you cneed assistance completing this form, please contact that ADA Coordinator. A PDF version of the Form Available to download and complete here in place of this eform. For more information about Americans with Disabilities Act Public Access Title II please visit our website. 

ADA Coordinator - County of Sonoma Human Resources
575 Administration Dr. Suite 116 B
Santa Rosa, CA 95403
Phone: (707) 565-2331
CA Relay Service: Dial 711
Fax: (707) 565-3770
Email: ada@sonoma-county.org 

The ADA designee will contact you to discuss the complaint within 15 days of receipt.

Contact Information

Preferred Method of Contact

Accessibility Issue

Have you made efforts to resolve this issue directly with staff of facility, program or service?

If you have a disability that requires this material to be produced in an alternate format (e.g. ADA compliant web document, large print, audio file, or other) please call (707) 565-2331, or CA Relay: Dial 711 or send an e-mail to ada@sonoma-county.org to ensure arrangements for accommodation. Every reasonable effort will be made to produce the material in an alternate format. Please allow a minimum of 72 hours for your request to be processed.