American with Disabilities Act (ADA) Grievance Form

The Americans with Disabilities Act (ADA) ensures that all community members have access to library services, programs, and facilities. Use this form to file a concern regarding ADA compliance.

How to File a Concern

Online: Complete and submit the digital form below.
By Mail: Click here for a printable copy. Please sign and mail it to:

Executive Director
Lawrence Public Library
707 Vermont St., Lawrence, KS 66044
Timeline: We will respond to your inquiry as soon as possible, but no later than 15 days after receiving it.

Need Help?

If you need assistance filling out this form, we are happy to help:

In-Person: Visit us at the library and inquire at any service desk.
Phone: 785-843-3833
Email: ada@lawrence.lib.ks.us

Note: Under the ADA, the library is not required to take actions that would fundamentally change the nature of its services or create an undue financial or administrative burden.

American with Disabilities Act Grievance Form

"*" indicates required fields

Name*

First Last

Phone

Mailing Address*

Street Address Address Line 2 City State

ZIP Code

Indicate the primary area of concern

Physical Access: Did you encounter a physical barrier at the library, such as a counter height or doorway that was difficult to use?

Programs or Services: Was there a library activity or service that did not provide an equal opportunity for you to participate or benefit?

Communication: Was there a barrier to communication, such as a need for a sign language interpreter or materials in an alternative format?

Date of of the incident*

Please include day, month, and year.

Time of the incident*

Please include hh:mm

Time of incident

Please describe the barrier or incident

This form is protected by reCAPTCHA

If you require an alternate submission method, please contact us.

Comments

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

This information will be submitted via email. .