To begin our investigation, we need the following information:
| Your name: | |
| Address: | |
| Daytime phone: | |
| If provided, the above information is kept confidential. | |
| Building or facility: | |
| Address (or location): | |
| Phone number: | |
| The following information, if known, will help our investigation: | |
| Owner of facility: | |
| Address: | |
| Phone number: | |
| Federal agencies occupying or managing the facility: |
| Federal funds that may have been used to design, build, alter, or lease the facility: |
| Date(s) building or facility was built or altered: |
If possible, please include a sketch, drawing, map or photograph of the barrier(s).
Mail completed form to:
Access Board
Office of Compliance and Enforcement
1331 F Street, N.W., Suite 1000
Washington, DC 20004-1111