The Los Angeles County Public Works (Public Works) is committed to ensuring that no person shall be discriminated on the basis of disability in the admission and access to its services, programs, or activities. Please complete this form to submit an ADA Complaint or an Accommodation Request.
Person Completing Form *
* An authorized representative is a person with authority to act in the best interest of the participant.
Customer Information:
Authorized Representative:
ADA Complaint (check all that apply)
Accommodation Request (check all that apply)
Please briefly describe the incident encountered or barrier.