The ADA Title II Complaint/Grievance Form is solely for facilities, activities, programs, and services owned and/or operated by Larimer County, Colorado.

If you are a county employee or job applicant wishing to file a complaint of disability discrimination, do not use this form.  The county’s personnel policies and procedures govern employment-related complaints of disability discrimination.

If your grievance is related to a non-County owned business (Title III businesses), please contact the U.S. Department of Justice Information Line at 1-800-514-0301 for assistance.

INSTRUCTIONS:  Please print clearly or type your answers, if possible.  If you need help due to your disability in completing this grievance form, you may contact the ADA Coordinator at or at telephone (970) 498-5967

This form should be submitted to the ADA Coordinator as soon as possible, but no later than 60 calendar days after the alleged violation.

Please see Below Options for Submitting the Larimer County ADA Title II Grievance Form:

1. Complete the online version of the ADA Title II Grievance Form

2. Print and complete the ADA-Title-II-Grievance-Form.pdf and email it to

3. Print and complete the  ADA-Title-II-Grievance-Form.pdf and send via U.S. Mail to:  
    Larimer County ADA Coordinator
    200 West Oak Street, Suite 4000
    PO Box 1190
    Fort Collins, CO 80522-1190