Grievance Complaint Form

Americans with Disabilities Act (ADA) Title II Complaint Form

Purpose: Use this form to file a complaint if you believe the Tucson Airport Authority (TAA) has not provided adequate accommodation for a disability.

Instructions: You may submit the online form below, or download the form, print it, sign it and mail or fax to:

Lorraine Behr
ADA Coordinator
Tucson Airport Authority
7005 South Plumer Avenue
Tucson, Arizona 85756
E-mail Address lbehr@tucsonairport.org
Office Number (520) 573-4869
Fax Number (520) 573-8006

Have another issue? Here is how to contact us.

Complaint Information

Complainant First Name

Complainant Last Name

Address

City

State --None-- ** AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MS MT NB NC ND NE NF NH NJ NM NS NT NV NY OH OK ON OR PA PE PQ RI SC SD SK TN TX UT VA VT WA WI WV WY YT

Zip Code

Home Phone (include area code)

Business Phone (include area code)

Person (other than Complainant) Alleging an ADA Violation

Complainant Name

Address

City

State

Zip Code

Home Phone (include area code)

Business Phone (include area code)

TAA Service, Program or Facility Allegedly in Violation

Date Alleged Violation Occured (05-24-2013)

Alleged Violation and Requested Remedy

Was the case filed with the Department of Justice? YesNo

If You Answered "Yes" to the Previous Question, Complete the Following

Agency or Court

Contact Person

Address

City

State

Zip Code

Phone (include area code)

Date Filed (05-24-2013)

Other Comments

Red fields are required.

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Please enter the 4 character string shown in the box above.

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NOTE: Please be advised that TAA complies with Arizona Public Record Law, and that information provided in this form may be subject to public disclosure. Furnishing the requested information is voluntary, except that the failure to provide complete information may result in delay or in our being unable to resolve your complaint fully.