Sidewalk Accessibility Form

Name of Complainant *

Name of Organization *

Email *

Complainant’s Address 

City

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Zip Code

Daytime or Cell Phone

Preferred Method(s) of Communication (Select all that apply) *
To select multiple options, hold down the Ctrl key as you click one or more listed option.
Voice Telephone711 (TTY) Wisconsin Relay ServiceEmailUS MailOther (Please explain below)

If you selected "Other" as your preferred method of communication, in the previous question, please describe your preferred method(s) of communication in detail:

Type of Complaint *
To select multiple options, hold down the Ctrl key as you click one or more listed option.
Curb Cut/RampCrosswalksSignagePedestrian Street Crossing Controls

Specific Location *

Description of Accessibility Complaint *

Date of Complaint (Enter as MM/DD/YYYY) *

The Department of Public Works, Infrastructure Division will report the results of their investigation and include a solution with time frame to the ADA Coordinator.  The complainant should receive a written response from the ADA Coordinator within 15 business days.  If you do not, please contact the ADA Coordinator at:

Jason Ostrowski, ADA Coordinator

City of Milwaukee
Department of Administration
Budget and Management Division
200 East Wells Street, Room 603
Milwaukee, WI 53202

Phone: (414) 286-3475
TTY: 711
Fax: (414) 286-5475
Email: [email protected]

If you prefer , you may print and mail the Sidewalk Accessibility Form.