MIAMI-DADE COUNTY PARK, RECREATION AND OPEN SPACES DEPARTMENT ADA GRIEVANCE FORMInstructions:Fill form out as completely as possible, then send to Lucy Binhack, Disability Services Manager, 275 NW 2ND Street, Miami, Florida 33128 or e-mail to Binhack@miamidade.gov
- Today's Date
- Your Name
- Your Address
- Your Contact information
- Reason for complaint/grievance
Please be as specific as possible including the specific location, day, date, time of day, name(s) of individuals involved, why you feel you have been discriminated against. Your complaint will be investigated and we will respond to you within fifteen business days. If you would like to request this document in accessible format call 305-755-7848 or e-mail firstname.lastname@example.org.Back to Top Page Last Edited: Thu Aug 15, 2013 3:34:35 PM
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