American with Disabilities Act (ADA) Grievance Form

The Americans with Disabilities Act (ADA) promotes access to services, programs, and facilities for all members of a community regardless of disability. If you have a concern regarding the Lawrence Public Library’s compliance with the ADA, please fill out the online form below, or sign and mail a printed form to the attention of Executive Director, Lawrence Public Library, 707 Vermont St., Lawrence, KS 66044. Printed form available here, opens a new window

If you would like assistance filling out the form, please inquire in person, contact us at 785-843-3833, or email us at ada@lplks.org, opens a new window, and we would be happy to provide assistance.

We will respond to your enquiry as soon as we can, but no later than 15 days after we receive it.

Please note that the ADA does not require the library to take any action that would fundamentally alter the nature of its programs or services, or impose an undue financial or administrative burden.

American with Disabilities Act Grievance Form

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Name*

First Last

Phone

Mailing Address*

Street Address Address Line 2 City State

ZIP Code

Indicate the primary area of concern

Physical/Facilities Access: did you encounter a physical barrier to access at the library? E.g. counter is too high for wheelchair access

Program, service, or activity: was there a library program or service that you allege did not provide an equally effective opportunity for persons with disabilities to participate in or benefit from?

Communication access: was there a difficulty in communication due to a need for, for example, a sign language interpreter, or a material in a different format?

On what date did the alleged discrimination occur?

At what time did the alleged discrimination occur?

Please describe the alleged act(s) of discrimination

Phone

This field is for validation purposes and should be left unchanged.

This information will be submitted via email. .

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American with Disabilities Act (ADA) Grievance Form

American with Disabilities Act Grievance Form

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