2
Sound Transit Americans with Disabilies Act Discriminaon Form Note: This form should be used to register a formal complaint of discriminaon under the Americans with Disabilies Act. It is recommended that the complainant should first try to resolve issues through typical customer service channels by subming informaon to [email protected] . The completed form may be mailed to: Donna Smith, Manager of Accessible Services, Sound Transit, 401 S. Jackson St., Seale, WA 98104, or e-mail to [email protected] . Complainant Informaon Date of Complaint: Name of Complainant: Address 1: Address 2: City: State: Zip Code: Home Telephone: Cell: E-Mail: Occurrence Informaon Date of Occurrence: Type of Complaint: Facility Vehicle Vehicle Personnel: Bus Operator Security/Fare Enforcement Train Operator Train Conductor Other (please idenfy):

Homepage | Sound Transit · Web viewLink Light Rail Tacoma Link ST Express Bus Route Number: Location (Bus Stop or Transit Facility name): Direction of Travel: Description of Occurrence:

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Homepage | Sound Transit · Web viewLink Light Rail Tacoma Link ST Express Bus Route Number: Location (Bus Stop or Transit Facility name): Direction of Travel: Description of Occurrence:

Sound Transit Americans with Disabilities Act Discrimination Form

Note: This form should be used to register a formal complaint of discrimination under the Americans with Disabilities Act. It is recommended that the complainant should first try to resolve issues through typical customer service channels by submitting information to [email protected].

The completed form may be mailed to: Donna Smith, Manager of Accessible Services, Sound Transit, 401 S. Jackson St., Seattle, WA 98104, or e-mail to [email protected].

Complainant Information

Date of Complaint:

Name of Complainant:

Address 1:

Address 2:

City:

State:

Zip Code:

Home Telephone:

Cell:

E-Mail:

Occurrence Information

Date of Occurrence:

Type of Complaint:Facility ☐

Vehicle ☐

Vehicle Personnel:Bus Operator ☐

Security/Fare Enforcement ☐Train Operator ☐

Train Conductor ☐

Other (please identify):

S ervice

Page 2: Homepage | Sound Transit · Web viewLink Light Rail Tacoma Link ST Express Bus Route Number: Location (Bus Stop or Transit Facility name): Direction of Travel: Description of Occurrence:

Sounder ☐

Link Light Rail ☐

Tacoma Link ☐

ST Express Bus ☐

Route Number:

Location (Bus Stop or Transit Facility name):

Direction of Travel:

Description of Occurrence: