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Get Title Ii Of The Americans With Disabilities Act Section 504 Of The Rehabilitation Act Of 1973

Rehabilitation Act of 1973 Discrimination Complaint Form Instructions: Please fill out this form completely, in black ink or type. Sign and return to the address at the end of this form. Complainant: Address: City, State and Zip Code: Telephone: Home: Business: Person Discriminated Against: (if other than the complainant) Address: City, State, and Zip Code: Telephone: Home: Business: Government, or organization, or institution which you believe has discriminated: Name: State and Zip Code: Tel.

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