Grievance Form

Leave This Blank:

CITY OF RIO RANCHO AMERICANS WITH DISABILITIES ACT (ADA) – GRIEVANCE FORM/COMPLAINT OF ACCESS VIOLATION OR DISCRIMINATION ON THE BASIS OF DISABILITY


Person identifying access violation or discrimination


Authorized representative of individual (if any)






The City will make reasonable effort to ensure that confidentiality is maintained throughout the complaint and investigation process, to the extent consistent with the law, adequate investigation, and appropriate corrective action.

If you need assistance filling out this form or have questions, please call (505) 891-5015.