ADA Grievance Form

Grievance Form

Steps

  1. 1. Instructions
  2. 2. Grievant's Contact Information
  3. 3. Description of Grievance
  • Instructions

    1. If you have been discriminated against on the basis of disability in any of the City of Chino's services, programs or activities, and you would like to file a grievance, please complete all sections of this form.