MAPS Americans with Disabilities Act Complaint Form

Morris Area Para Transit System is committed to ensuring that no person is denied access to its services, programs, or activities on the basis of their disabilities, as provided by title II of the Americans with Disabilities Act of 1990 (“ADA”). ADA complaints must be filed within 180 days from the date of the alleged incident.

The following information is necessary to assist us in processing your complaint. If you require any assistance in completing this form, or if you would like to make a verbal complaint, please contact The County of Morris, Allison Stapleton, ADA Compliance Officer, Office at PO BOX 900 Morristown, NJ 07963

Phone Number

Alternate Phone Number

Date of Incident

Please describe the alleged discriminatory incident, including the location(s), if applicable. Provide the names and titles of Morris Area Para Transit System employees involved, if available.

Have you filed a complaint with any other federal, state, or local agencies?

Yes

If so, list agency/agencies and contact information below:

Agency Name and Address

Name and Address Remove Field

New Agency

I affirm that I have read the above charge and that it is true to the best of my knowledge, information, and belief.

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First Name

Last Name

Choose how to sign

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.