ࡱ > a V bjbj** <. H=bH=bV < < < < < P P P P d l P ڛ Y [ [ [ [ [ [ $ Ҝ < < <
< < Y Y >l*
E 0 ڛ B @ B B < v 7 T D 8 [ : ڛ B B : Palm Beach County Department of Airports
Americans with Disabilities Act
Grievance Form
In accordance with Title II of the Americans with Disabilities Act (ADA) of 1990, it is the intention of the Palm Beach County Department of Airports (DOA) to provide access to all services associated with its operation and to all persons with disabilities. Please use this form to file a grievance if you believe the Palm Beach County Department of Airports has not provided satisfactory accommodation for a disability.
You may submit your grievance to:
Martha LaVerghetta
DOA ADA Coordinator
Palm Beach County Department of Airports
846 Palm Beach International Airport
West Palm Beach, FL 33406-1470
E-mail: HYPERLINK "mailto:laura.beebe@pbia.org" mklaverghetta@pbia.org
Grievant Information
Grievant Name:
Address:
City:State:Zip Code:Home Telephone Number:
( ) -Business or Alternate Telephone Number:
( ) -Other Contact Information:
Description of Alleged Violation (Please include specific information, including the date, time and location of the alleged violation):
Description of Alleged Violation (cont.):
Requested Remedy:
Please advise if this grievance has been filed with the Department of Justice, another government agency or court:
Government Agency or Court Name:
Contact Person:
Address:
City:State:Zip Code:Telephone Number:
( ) -Date Grievance Filed:Other Information or Comments:
Signature: ________________________________ Date: ________________________
Z [ 6 7
"
#
$
6
7
;
K
s
t
+ , N O g ˻ˮÛ{sososososos h>; hT h>; 5 h>; h>; 5B*CJ aJ ph hN{ hvX0 0J
hvX0 0J $j hN{ hvX0 B*Uph j hvX0 B*Uph h'' B*ph hvX0 B*ph h>; B*ph h>; h>; B*ph h>; h>; CJ aJ h>; h>; 5CJ \aJ j h>; U + * K Z [
#
$
7
K
t
* + $If gd>; gd>; $7$ 8$ H$ a$gdTl $a$gdTl $a$gd>; + , 5 6 7 = D N $If gd>; n kd $$If l $ h%
t 0 6 4 4
l a p
ytT N O f g H ? ? ? ? ? ? $If gd>; kd- $$If l \ $
N
t 0 6 4 4
l a p( ytT x o o o $If gd>; kd $$If l 0 H$
t 0 6 4 4
l a p ytT o p q r s t u v w x y z { | $If gd>; n kd $$If l $ h%
t 0 6 4 4
l a p
ytT n o w x y } J
K
n
o
< = V h7 5hF' hF' 5hT hF' 5h>; h>; 5hF' h>; h>; hT h>; 5h>; | } $If gd>; $If gd>; n kd! $$If l $ h%
t 0 6 4 4
l a p
ytT J
K
l
m
n
z l c c c $If gd>; gd>; l $a$gdTl l gd>; n kd! $$If l $ h%
t 0 6 4 4
l a p
ytT n
o
$If gd>; n kd " $$If l A% %
t 0 %6 4 4
l a p
ytT
$If gd>; n kd" $$If l A% %
t 0 %6 4 4
l a p
ytT
H ? ? ? ? $If gd>; kd
# $$If l \ A% ? z
t 0 %6 4 4
l a p( ytT
x o o o o $If gd>; kd# $$If l 0 A%
t 0 %6 4 4
l a p ytT
V gd>; n kdq$ $$If l A% %
t 0 %6 4 4
l a p
ytT : P P 1h:p>; / =!"#$% D d
2 D
3 A ? " " $ HT4Uj D 5 @= HT4Uj F? $> xxՕ=͌ʨk$F^5] $X!!l*&KBB! :wY]%wClwGr}e3}f43:{97}w~2Q eLwy<9M-QqΛwry{͓s5>5!5g?uO.1H=묧cjo~plȠ=fͽ?niKvrS:uO:uV'Sݜs.fn6:y
ɓggK/msǹޏs_8zr;q~sAҖڇ|sQ#pBg\R=s<;x.i-miK#
ؿgO./qy|>`νaþG[iK[\;x?}S;O1u=εS~=5d!ɹm/rBNiMx@kiK[q#S<=47rvs9yy?3:Az#{kC=O?xN8989|9uQ?q?L^_-mi\ƅNigisT'wS8-7,r4v="~'![w?C<o"~n*{7{~|KGS|C?ó_^^ǮWcx.ڃSط{FfS=>ݳ#Ͽ}~r߈V~\+Ū%Xշ=ЍDC;"5 9(3QlqæCEfz8tph`נ]^z_يRS*M.E9\8M-S`v/܅!˚ЇEehl }ӗCˏ;;?v!p&AN͍}0Vw
}8ۘasx?~g5 Z_anT.#Q .z^K̩G5;D\D#Nl
{1"Ըp5^;_pb_=s%(GSU7J,!+:Pم:g+Z7%]Xu0"ŝHwo"F=#PXNwRZ+>\}[﮻xCol=coOx'/qxmkiK[OX9Uv'm7dzS^'cN7q-woF?BC lZ'ěJ8(6աHZֈ*bV;2TY¨-lU$!T[%8jJ5¢
OTwNvVmue}p۸gPQ`߰!jZPlmCմ^㴠z1_ EJ?*$AZ/*{3;P\BPgj
WQZ&e *uhaYb|=~/n©CoGwNsl;uN<{=uqSiK[>\XM~J-.
IB4֭Bm51t|,8
-ht>Ur!AWCu@%fiZAi ,V(!-ݴp, VԉetKPVN҄j{0J`6Nе6q:v{z fgj7p<(ס^I|ҕ^Hy +X-W݀||{5˝ǧ)tyZ-mi4ǩLsobc8³=?5/_MZ2K
j+QaGo 8'p:(axPObh>U(/G~y*h8-eMBOd&RV'ִK:@$hTLQ'QhG]j͝(`h>vt /@"¤}`B݂UjQj^e[kTy>q8WF]3 8$dd0 R?VȔ!E8Vu^ғ(%Q\%7qîEwoߺ78mcx)\-mir,AyzxQl}i3~G?[ MT*Q()]@.ޢ $i8kh 5>p4qXLP@Xde4zUPZv9Oh51O|J; q.}q˥巂CA"#ض+`.JDz-k2ıUyT@0|QF(]((]*ZXJt#ka~!L
Fݰu[AZUeCR"+u6b0Њm}xc|66oc.͵-mzgX67¶_f1wE,^?lr845()Oͷ^of1.؛QRC1҇bzV/DUa{V ; EZEbu @o4TaI7 $,(.[ EyQjOjz
?Fua+ uWap~އ L%r 6^M\#f߄D>i: uȗۈIj d
:O:Q$lӗ0EEZ M]0]ut9,NH 7ж^ҋmh|]xG:Bl(QuL_?Ļ/!?yΜiҖ]r~z.Tw<=߲CL9݅/F}0j;w!80)D/q`*E]p)OԎ
nDIA\F1LQ%H{|yr@eꁳx DL^h^Щcto+/AiQl zNjv5ٕD2ۯOd:;ʟc|pq&{gwbnҖ\;!;]b.Vo5y.e#xW7J/2B sq"[*=()jE
a:tQH>䉚 Ƒ#B!'"B~d%^ #MBUp
!/,Z WP
Ѻtɥ{H,X=IPF}^YOó}hP5: tuٮB#GaB8C!Bm[64Z
͓(i=1ct9?ս]3߇BY8Ch\rs/㨍
8eɭ|BiӿB`yO'Y
h%/\ҨV6*u"#3K7JmP]e% H]BTUD8~5̤J15-Co<lB✪& \vpdbumxos˝[N}hD%Y1E|YGZm.8_.jL0D Md}}|iZ,1įȇT a((X
|L4+XyuW#Sx=_ceh[
eጽWn1Cb',-#4C1{Pж&K[S30v(d)7&i)Kۇ\4}`i?Sh#{?#m_6p8촏Rڦm( @"6
KQ$#6E`Vb>:}NH|cQH lGq;{x&Pނ&XCB.Ttp4>p_JH辶f,"
::9=[,xamHh*AGd
ܼR6Us7\q#}Su4Yr]o>Җq*'.=o=K۞<|TQ;2{o}!J
N8婺PV/:.~9ȅ2g r5PbȖs[+Dx|?ıĪxBnދCb^̷ ,5;_}Qx(oWh*yL i{蜈a:gJ]傷a
@I3BݶQz4Еg<,c]&/ ~^+I+X\ }7
Pa4uC,
t `!]Z
!
fT&ώ@Y=~vmxDZ7ΡSc:L}?lx\\:.mi5/>َ|Aw257wpe!ԆV <ı&Y}c@&Ś^ǵ^rCZ{8Ճfm_"'(0nh!?mގ'](Be4&42TߋɃA<wZ>q~d6 v6lbI.H&$<F5}pF#Q14abtnX;
1ʒcPՏ!|'GCCr֣9`<9iC!iIYx/<eǐ4 m#Ϋ( &q&BC!>;`KkmLaTtG|{Qںk߂
S~6N;@g'&m`!\b
Y\~#2Ԧ8Ԇ"=.F!yv!
5h(b}xI۩~;t}s\;{\:s+scg?Xzs5ATڣxqA0B0&҆U(.^LE:J"WKQILʛa
D%wC]=GDm/Bu0a#F8b(cQj0$&!toÔOzf/= l9~ BFyǑ$0i74 HBmCvg Xr^Fi17
}`[P{p#Ѻz껷e'6~`ŭ`Kҳ(j;֍yO@NT8ݕo= ]xYؓ02sFElF@BaMzz}鿼q("
B~Vb*6o4`cSMtbmӈ&wTSKyz
kEt9tјא #'
P _^HQ_IJ lAN/1߉
m
[-qlP nGZGݧ-miƲK.Q4Өϼoo-܃bjTu#ՖuNt)EN[T Vȗ`/^
Ȕ,t%_u/UzeY>YMLh!i+vHH|(2
Iή&Dk'x5ۑύ#ENzMȯC{asL*C0^&MwC#}Z>qTܺt5uf4`e[^7Btrb/v'\!<-h$&{w8h=828;vf'sBY
/~Vgam
ItYd#tn1M֞ҖI& & Ly?3Ll渙EpC$~,iO>CY6FU~M1;|_2/`Ob2ZmW@ !ƅ
\MOc0uI8+VBkDVB JIVƤȇ<|0:S8yusiK]6oC{fHMè(^<"ijC/xyCYh)Di)܉$Z»|7|+˻Gh|wa0t&41+/8b4Y@Ӳ[9H8IoܻѴy$ۺF؈Lݷ3=mt!H[As`{tԼ7)<ϹJ-/P*tYO7\o?$:N*y#s_FFAgh:$Ɛ6
N
{P~
{3r?,atGZ@q1-a+Qҏd.'~`RҊ(ZL+J3w8ܚa乸X.HGHjBEg`ButYDv9d˰ޏ|
,玗х6=y/RY8J/
M\U.1NR4ܪ퓷g_>xd^
Q|:\K[>&ŌqS뻜ߏSo%ܥ>T؛Xv>kEеI0Y
E.V+qi_M"K+!k8فm0_.aINC<>2va) lE>dAp6[,J|xn& B|y2I)ՏC.>
[t̕?Zww>՟|?4'^*70Q~Ы+2x+\ܬ>`X%\>t+^}&:Vpܾ_6z6H}3M˲Am0/3nj5"ZTtoZgxt^-oWo! ͰNWt❻А+
z2HKX(tE
umxJ}0'f|1({ؘ$~|<A&$&H6P3TU7>
)ߜi5a4{r
WYN@N" ]D3 Y!d;W~;8E=CJ;vPtHt@^I;UkmoprRH!BFh=1;!jMGHN$ؒikm"#kQݳs.v2/O2EgGli}Nȵ /&zwQy;Q@$]=ȸC} c[CmOb6~{Pg6ʺQQ@AK
'
Ł1wMϣ3߀\}
:J8E+ݿ!W'F]bXu1%>Z֦+Ó+Ǐ}Gԩ