ADA Complaint Form | Valley Metro

ADA Complaint Form

Any person who believes that he or she has been discriminated against by Valley Metro or any of its service providers, and believes that the discrimination was based solely upon his or her disability, may file a complaint with Valley Metro Customer Service.

Please provide the following information in order to process your complaint.  Please mail or deliver this form to: Valley Metro Customer Service, 4600 E. Washington Street, Suite 101, Phoenix, AZ 85034.  Alternative formats and languages are available upon request.  You can reach Customer Service at (602) 253-5000/TTY: (602) 251-2039, or e-mail at csr@valleymetro.org.

Complete the form below.

* indicates required field


Section 1: Customer Information
Format: (123) 456-7890
Section 2
Are you filling out this complaint on your own behalf?
Section 3: Incident Information
Please describe your complaint. Include specific details such as names, dates, times, route numbers, witness names and contact information, and any other information that would assist Valley Metro in its investigation of your allegations. You may also attach documents to this form.
Date of alleged incident:
Time of alleged incident
:
Service type:
Section 4
Have you filed this complaint with the Federal Transit Administration (FTA)?
Section 5
Attach any written materials or other information that you think is relevant to your complaint.
Files must be less than 2 MB.
Allowed file types: gif, jpg, jpeg, png, pdf, doc, docx.
Enter legal name. This will be considered your signature.
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