700 Parkwood Road. Charlotte NC, 28203
The City of Charlotte does not discriminate on the basis of disability. We will provide auxiliary aids and services, written materials in alternative formats, and reasonable modifications in policies and procedures to persons with disabilities upon request. To make a request, please email email@example.com or call 704-336-5160.
Full Name of Aggrieved Person (Complainant):
Emergency Contact for Complainant:
Basis for Complaint
Address of the subject property:
Have you filed a complaint with any other business, organization, court, or governmental organization?
I swear or affirm that I have read this complaint (including any attachments) and that it is true to the best of my knowledge information or belief.