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Customer Contact Form

  1. Please complete this form if you have a complaint, concern or a compliment.
  2. Type of Complaint / Comment
  3. Type of Complaint
    Select all the apply.
  4. Are you filing this on your own behalf?
  5. Please supply the name and relationship of the person for whom you are submitting this claim.
  6. Please explain why you have filed for a third party.
  7. Permission of Filing
    Please confirm that you have obtained the permission of the aggrieved party if you are filing on the behalf of a third party.
  8. Details of Complaint or Incident
  9. General Complaint, Concern, or Incident
  10. Inbound or Outbound
  11. Civil Rights / Title VI Complaint
  12. Kind of Discrimination
    Check the kind of discrimination you are reporting.
  13. Please be as specific as possible.
  14. Explain as clearly as possible what happened and why you believe you were discriminated against. Describe all persons involved. Include name and contact information of person(s) who discriminated against you (if known) as well as names and contact information of witnesses.
  15. Ada Discrimination: Discrimination Based on a Disability
  16. Describe all persons who were involved. include the names and contact information of the person(s) who discriminated against you (if known) as well as the names and contact information of any witnesses.

    If this complaint is related to equipment or structures (for example: buses or bus stops), please try to be as specific as possible in identifying which vehicle or locations may be creating the situation.

    Explain as clearly as possible what happened and why you believe you were or are being discriminated against based on your disability.
  17. Have you previously filed a complaint against this agency?
  18. What type of complaint did you file?
  19. What other type of complaint did you file?
  20. Ever filed this complaint with any other Federal, State or local agency, or any Federal or State court?
  21. Please provide information about a contact person at the agency / court where the complaint was filed.
  22. Additional Comments
  23. Acknowledgement*
    Buy submitting this form you are stating that the information you provided is true and accurate to the best of your knowledge. You are also giving METRO and it's agents the right to verify any and all information.
  24. Leave This Blank:

  25. This field is not part of the form submission.