Fillable COUNTY OF KANE Grievance Procedure under The Americans (Kane County, Illinois)

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COUNTY OF KANE Grievance Procedure under The Americans (Kane County, Illinois)

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COUNTY OF KANE
Grievance Procedure under
The Americans with Disabilities Act
This Grievance Procedure is established to meet the requirements of the Americans with
Disabilities Act of 1990 ("ADA"). It may be used by anyone who wishes to file a complaint
alleging discrimination on the basis of disability in the provision of services, activities, programs,
or benefits by Kane County or its employing agencies. The Kane County Personnel Policy
Handbook governs employment-related complaints of disability discrimination.
The complaint should be in writing and contain information about the alleged discrimination
such as name, address, phone number of complainant and location, date, and description of the
problem. Alternative means of filing complaints, such as personal interviews or a tape recording
of the complaint will be made available for persons with disabilities upon request.
The complaint should be submitted by the grievant and/or his/her designee as soon as possible
but no later than 60 calendar days after the alleged violation to:
Sylvia Wetzel
ADA Coordinator
Executive Director of Human Resource Management
719 S. Batavia Avenue
Geneva, IL 60134
Within 15 calendar days after receipt of the complaint, Sylvia Wetzel or her designee will meet
with the complainant to discuss the complaint and the possible resolutions. Within 15 calendar
days of the meeting, Sylvia Wetzel or her designee will respond in writing, and where
appropriate, in a format accessible to the complainant, such as large print, Braille, or audio
tape. The response will explain the position of Kane County and offer options for substantive
resolution of the complaint.
If the response by Sylvia Wetzel or her designee does not satisfactorily resolve the issue, the
complainant and/or his/her designee may appeal the decision within 15 calendar days after
receipt of the response to the Chairman of the Human Services Committee or his designee.
Within 15 calendar days after receipt of the appeal, the Chairman of the Human Services
Committee or his designee will meet with the complainant to discuss the complaint and possible
resolutions. Within 15 calendar days after the meeting, the Chairman of the Human Services
Committee or his designee will respond in writing, and, where appropriate, in a format accessible
to the complainant, with a final resolution of the complaint.
All written complaints received by Sylvia Wetzel or her designee, appeals to the Chairman of the
Human Services Committee or his designee, and responses from these two officials will be
retained by Kane County for at least three years.
AMERICANS WITH DISABILITIES
COMPLAINT FORM
Instructions: Please fill out this form completely. Sign and return to the
address on page 2.
Complainant:_______________________________________________________________
Address:___________________________________________________________________
City, State and Zip Code:___________________________________________________
Home Phone:_____________ Business Phone:___________ Mobile Phone: ________
**************************************
Person Discriminated Against
(if other than the complainant): ___________________________________________
Address: ___________________________________________________________________
City, State, and Zip Code:__________________________________________________
Home Phone: ____________ Business Phone: ___________ Mobile Phone:_________
**************************************
Person, Department, Office, or Committee that you believe has discriminated:
Name:_______________________________________________________________________
Address:____________________________________________________________________
City:_______________________________ Zip Code: ____________________________
Telephone Number:___________________________________________________________
When did the discrimination occur? Date:____________________________________
Describe the acts of discrimination providing the name(s) where possible of
the individual(s)who discriminated (use space on back if necessary):
What efforts have been made to resolve this complaint?
What is the status of those efforts?
Has a complaint been filed with a Federal, State, or local civil rights
agency or court? Yes______ No______
If yes:
Agency or Court:
Contact Person:
Address:
City, State, and Zip Code:
Telephone Number:
Date Filed:
Do you intend to file with another agency or court? Yes ______ No______
If yes:
Agency or Court:
Address:
City, State and Zip Code:
Telephone Number:
Signature: _________________________________________
Date: ________________________________
Return to: Sylvia Wetzel, ADA Coordinator
Kane County Department of Human Resource Management
719 S. Batavia Avenue, Building A
Geneva, IL 60134
wetzelsylvia@co.kane.il.us
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COUNTY OF KANE Grievance Procedure under The Americans (Kane County, Illinois)

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Completed 6 April 2021

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