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2. ADA Grievance Complaint

   The information collected in this for will be used to file a formal ADA Grievance Complaint. During the investigation of the complaint, you may be contacted to further discuss the complaint and/or possible solution. If you do not wish to participate in a formal grievance procedure, please contact the Town’s ADA Coordinator :

   Greg Troemel, ADA Coordinator
   Town of Normal, 11 Uptown Circle, PO Box 589, Normal, IL 61761
   Office: 309-454-9581 | Mobile: 309-824-3026 | Email: gtroemel@normalil.gov 

4. First name*
5. Last name*
7. Address*
9. City*
10. State*
11. Zip*
13. Phone number*
14. Email*
16. Classification of Accessibility /Concern/Inquiry (Choose all that apply)*

    1. Public Right-of-Way (Sidewalks, Street, Curbs, Signage, Traffic Control, Lighting, Parking)
    2. Town Public Facilities (Parking, Routes, Building Entry, Signage, Restrooms, Services, etc)
    3. Town Public Services or Programs (Parks, Theaters, Aquatics, Athletic Facilities, Signage, etc)
    4. Town of Normal Website Accessibility and Navigation
    5. Commercial/Business Facilities (Parking, Entry, Restrooms, Signage, Goods and Services)
    6. Housing (Parking, Accessible/Adaptable Units, Signage, Tenant Accommodations, etc)
    7. Other Questions or Concerns Not Listed
18. If other, please specify*
20. Specific Location or Address in Normal, IL if known*
22. Please describe your complaint, including the date and time of any incident, if applicable*
24. Please describe your requested or suggested resolution*

26. Your grievance complaint will be submitted to the ADA Coordinator, who may contact you for additional information. You will receive a written response to your complaint within 30 days. If another form of response is required, or you have questions about the status of your complaint, please contact:

    ADA Coordinator
    Greg Troemel, Town of Normal
    #11 Uptown Circle
    Normal, Illinois 61761
    Phone: 309-454-9580

    Email ADA Coordinator Greg Troemel

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field