Discrimination Complaint Form

Please complete this form to request or report your Title II ADA discrimination issue. Upon review of your request, the ADA Program Manager will contact you via specified contact option below.

Name *
Date of Incident *
Address of Incident *
City
State *
Zip Code *
Phone Number *
E-mail *
Please call me
Please e-mail me
Please handle, no response needed
Messages

To request a hard copy of this form, please call the Office on Disability at 407-836-6568
or email OfficeOnDisability@ocfl.net.

Contact Us

Office on Disability
Citizen Resource and Outreach Division
Phone: (407) 836-6568
Email: OfficeOnDisability@ocfl.net

All e-mail sent to this address becomes part of Orange County public record. Comments received by our e-mail subsystem can be read by anyone who requests that privilege. In compliance with "Government in the Sunshine" laws, Orange County Government must make available, at request, any and all information not deemed a threat to the security of law enforcement agencies and personnel.