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Web persons who want to file a complaint for reasons involving disability discrimination may do so, by completing this form and submitting it via u.s. Name* (first, middle initial, and last) home phone* business phone email address state agency accused of denying disability access agency* department (if applicable) agency address phone number email incident details date of incident* Department of justice civil rights division 950 pennsylvania avenue, nw washington, dc 20530 3. Web filing an ada complaint is easy.
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