City of Greenville
ADA Title II Appeal Form
Please complete the ADA Title II Appeal Form if you are a program participant or member of the
public dissatisfied with or wish to appeal the ADA Coordinator’s response to your initial complaint
alleging the City is in violation of Title II of the ADA in regard to a program, service, activity or
facility. The decision may be appealed to the City Manager or his designee within 20 calendar
days after receipt of the ADA Coordinator’s response. An appeal should detail the reasons the
grievant believes the findings to be in error.
The City Manager or designated representative may meet with you and/or the City’s ADA
Coordinator to discuss the matter appealed and attempt to reach an informal resolution of the
appeal. Any informal resolution will be documented in the City ADA Coordinator’s file. The City
Manager or designated representative will make a final determination within 20 business days
from the date of the filing of the appeal for reconsideration.
The resolution of any specific complaint will require consideration and balancing of varying
circumstances to include but not limited to: nature of disability, nature of access to services,
programs or facilities at issue, health and safety of others, degree to which an accommodation
would constitute a fundamental alteration to the program, service or facility, whether the
accommodation will present an undue hardship to the City. The resolution by the City of any one
complaint does not constitute a precedent by which the City is bound or upon which other
complaining parties may rely.
Alternative formats are available. Please contact the ADA Coordinator via mail, email, phone or
fax. You may submit your complaint or appeal by phone to the ADA Coordinator.
Use of the City’s appeal procedure is not a prerequisite to the pursuit of other remedies. If the
appellant is dissatisfied or does not wish to file an appeal through the City’s ADA Appeal
Procedure, the appellant may file a complaint directly with the US Department of Justice or other
appropriate state or federal agency.
If you have questions about the ADA appeal process, please contact: Mike Jank, ADA
Coordinator, PO Box 2207, Greenville, SC 29602, in person at 7
th
floor of City Hall, telephone
864-467-4437, e-mail mjank@greenvillesc.gov or fax 864-298-2744.
Date: ________________________
Name: __________________________________________________________________
Street Address: ___________________________________________________________
City: ______________________________State: ______ Zip Code: ________________
Phone (day): _________________________ (evening) _________________________
Email: __________________________________________________________________
Preferred Method of Contact: _______________________________________________
