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American Disabilities Act Grievance Form

  1. Mail or fax this form to:

    ADA Coordinator
    DeeAnne Byrne-Scott
    City of Troy
    116 E. Market St.
    Troy, IL 62294
    Fx: 618-667-4009

  2. Agency alleged to have denied access:

    City of Troy Administration Office
    116 E. Market St.
    Troy, IL 62294

  3. This problem is:

  4. Mail or fax this form to:

    ADA Coordinator
    DeeAnne Byrne-Scott
    City of Troy
    116 E. Market St.
    Troy, IL 62294
    Fx: 618-667-4009

  5. Leave This Blank: