Ada Title Ii Complaint Form - Santa Cruz County Home
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4COUNTY OF SANTA CRUZ
AMERICANS WITH DISABILITIES ACT - TITLE II COMPLIANCE PROGRAM
FORMAL COMPLAINT INSTRUCTIONS
As a constituent of the County of Santa Cruz you have the right to access to services, programs and/or
activities regardless of your mental or physical abilities. The Board of Supervisors have adopted policies
prohibiting discrimination which protect all individuals, from discrimination on the basis of a disability as
defined under the Americans with Disabilities Act of 1990.
If you believe that you have been discriminated against, you can file a complaint with the department
providing the service, program or activity or the County's Equal Employment Opportunity Office.
PLEASE NOTE THERE ARE SPECIFIC TIME DEADLINE REQUIREMENTS THAT MUST BE
MET. These are listed below.
If, after talking to the department representative, you feel you want to pursue your complaint, it will be
necessary for you to fill out a formal ADA Complaint Form (PER4003). This form is the beginning
phase of the complaint resolution process and is intended to assist us in identifying all relevant issues in
your complaint.
Complaint investigations shall be initiated within 5 working days after being received by the Equal
Employment Opportunity Office. All required discussions with affected parties will be held in privacy.
Confidentiality will be afforded all parties as far as is practical.
If you file a complaint form and wish to add supplemental information during the investigation, you can
do so verbally, by telephone or by written communication.
If you have any further questions, you can call the Equal Employment Opportunity Office at 454-2958.
COMPLAINT FILING DEADLINE REQUIREMENTS
The chart below shows the filing and response deadlines for the Discrimination Complaint process.
Deadline
Example
Incident
Day 1
May 1st
Informal Resolution with department
Day 1 through Day 60
Formal complaint to department
within 60 calendar days July 1st
Response from Dept Head
within 45 calendar days Aug 15th
Formal complaint to the EEO
within 15 calendar days Aug 30th
Response from the EEO
within 30 calendar days Sept 30th
Appeal to the CAO
within 7 calendar days Oct 7th
Final decision published
within 60 calendar days Dec 6th
Note: Dates shown are absolute maximums. Where the deadlines have not been met the complainant
may proceed to the next step. The complainant will receive a notice when a complaint is not timely.
You may file a complaint with the US Department of Justice (DOJ) instead of or in addition to your
complaint using this procedure. If you need additional assistance or if you have questions that you would
like to discuss with a Federal and/or State agency, please contact:
FEDERAL
United States Department of Justice (DOJ)
San Jose Area Office
U.S. Courthouse & Federal Building
280 South First Street, Suite 4150
San Jose, CA 95113
(408) 291-7352
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