This form allows any member of the public to submit accessibility requests related to a wide variety of issues, including curb ramps, sidewalk obstructions and access to buildings, facilities and programs. The form will be reviewed by the City of Kent Americans with Disabilities Act (ADA) Coordinator and a response will be provided via email. Alternate forms of communication will be made available upon request. (To report a situation that may endanger pedestrians or bicyclists, please call Public Works Operations at 253-856-5600). 

Please provide as much information about your accessibility request in the form as possible. The more complete the information, the better we can serve you.

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Identify the Primary Issue using the list below.

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Identify the Primary Issue using the list below.

Curb Ramp

Sidewalk

Obstruction on Sidewalk

Trip Hazard

Signage

Signal

Parks & Recreation Facilities and/or Services

City Facilities (City Buildings or City Public Spaces)

City Utilities (Water, Sewer, and/or Storm)

Other If other, type text here.

Describe Issue

Please provide as much detail as you can about the issue. The more information you provide us, the better we will be able to assist you. 

Describe Issue Please provide as much detail as you can about the issue. The more information you provide us, the better we will be able to assist you.

Describe Issue Please provide as much detail as you can about the issue. The more information you provide us, the better we will be able to assist you.

Upload a photo of the Issue Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Location of the Issue

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Location of the Issue

Street Address or Cross Streets (enter "none" if this is not applicable)

Building, Park or Facility Name (if applicable)

Other Location Information

Requester Information

Please note that any request and/or information regarding the requesting party are kept confidential.

Requester Information Please note that any request and/or information regarding the requesting party are kept confidential.

First Name

Last Name

Company Name (if applicable)

Address

Apartment Number/Suite/Unit

City

State

Zip Code

Phone Number

Email

Grievance Procedure under the ADA

Additionally, the City has an adopted Grievance Procedure in place, established to meet the requirements of Title II of the ADA. This procedure may be used to file a formal complaint alleging discrimination on the basis of disability in the provision of City services, activities, programs, and facilities.

Within 15 calendar days after receipt of the complaint, the ADA Coordinator or his/her designee, will meet with the complainant to discuss the complaint and the possible resolutions.

ADA Grievance Procedure Resolution Attachment (ADA External Grievance Policy)

Additional Comments or Questions? Please contact the City of Kent ADA Coordinator 

email: ADACoordinator@kentwa.gov,

call: (253) 856-5285

mail:

City of Kent ADA Coordinator

220 4^th Ave S, Kent WA 98032. 

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All written complaints received by the ADA Coordinator, appeals to the Chief Administrative Officer, or their designees, and responses from these two offices will be retained by the City of Kent in accordance with the City’s adopted records retention policy.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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