Fillable Grievance Procedure Under the American with Disabilities Act (City of Riverside, California)

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Grievance Procedure Under the American with Disabilities Act (City of Riverside, California)

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Grievance Procedure
Under the American 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 le a complaint
alleging discrimination on the basis of disability in the provision of services, activities, programs,
or benets by the City of Riverside. The City’s Human Resources Department administers Policy
that 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. A Grievance form is available for your convenience. Alternative means of ling
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:
Within 15 calendar days after receipt of the complaint, the ADA Coordinator Monique Gordon
or her designee will meet with the complainant to discuss the complaint and the possible
resolutions. Within 15 calendar days of the meeting, the ADA Coordinator 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 the City of Riverside
and offer options for substantive resolution of the complaint.
If the response by the ADA Coordinator 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 City Manager or his designee.
Within 15 calendar days after receipt of the appeal, the City Manager or his designee will meet
with the complainant to discuss the complaint and possible resolutions. Within 15 calendar
days after the meeting, the City Manager or his designee will respond in writing, and, where
appropriate, in a format accessible to the complainant, with a nal resolution of the complaint.
All written complaints received by the ADA Coordinator or her designee, appeals to the City
Manager or his designee, and responses from these two ofces will be retained by the City for
at least two years.
ADA Coordinator Monique Gordon
3900 Main Street, 2nd Floor
Riverside, CA 92522
(951) 826-5427/ TDD (951) 826-5439
E-mail: mwgordon@riversideca.gov
RIVERSIDE GENERAL SERVICES DEPARTMENT
City Halll
3900 Main Street, 2nd Floor Riverside, CA 92522
RiversideCA.gov/GeneralServices • (951) 826-5427
CONNECT WITH US
RiversideCA.gov/SocialMedia
3900 Main Street, 2
nd
Floor • Riverside, CA 92522 • Phone: (951) 826-5427 • Fax (951) 826-2409!
Pl
ease fill out this form completely, in black ink or type. Sign and return to the address below:
Name of person making this complaint: _
_________________________________________________________
Address: _______________________________________________________________________________________
City _______________________ State ________ Zip ___________ Telephone Number: ___________________
E-mail address: __________________________________________________________
_______________________
If
complainant is not the individual completing this form, please enter your:
Name: _________________________________________________ Telephone Number: ____________________
Other Contact Information: _____________________________________________________________________
Describe the reason for your complaint:
Si
gnature: _________________________________________________ Date: ______________________________
ADA Coordinator Monique Gordon
City of Riverside
3900 Main Street, 2
nd
Floor
Riverside, CA 92522
Ph: (951) 826-5427 / Fax: (951) 826-5427
TDD: (951) 826-5439 / Email: mwgordon@riversideca.gov
Fo
r more information or assistance in completing the form, please contact the ADA Coordinator.
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Grievance Procedure Under the American with Disabilities Act (City of Riverside, California)

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Completed 15 July 2020

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