ADA Service Delivery Discrimination Complaint Form

Americans With Disabilities Act (ADA) Service Delivery Discrimination Complaint Form

  1. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  2. You may call the Library Director at 406-388-4346 if you would like help in filling out this form.

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  4. This field is not part of the form submission.