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ADA Complaint Form

I believe that

I have been discriminated against on the basis of disability

Someone else has been discriminated against on the basis of disability

If your complaint is NOT related to ADA disability discrimination, please use our general feedback form, found here.

Contact Information

Your Name

(First)

(Last)

Email

Street Address

City

Zip Code

Telephone (If you have multiple numbers, please indicate the best number to reach you )

Incident Information

CATS Service at Issue

Fixed Route Bus

CATS OnDemand

LYNX by CATS

CATS Terminal/Facilities

Date of Incident

Time of Incident

Location of Incident

Name or Description of CATS Employee(s) Involved

Names of any Witnesses

If making this complaint on behalf of someone else, please provide the name of the person who was discriminated against.

Please provide a detailed description of incident

Follow up Information

What is the best way to reach you?

Phone

Email

Mail

If a phone call is requested, what time of day is best to reach you?

How would you like to receive your response?

Email

Phone

Mail

Accessible Format Requirements

Large Print

Braille

Other

I affirm that the above complaint is true to the best of my knowledge and reccollection.

Yes

Electronic Signature

Capital Area Transit System
2250 Florida Blvd
Baton Rouge, Louisiana 70802
225.389.8920

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