From: ADAPT <cyanosis@igc.org>
Subject: 03/92 INCITEMENT: Public Accomodation investigation req form
Followup-To: alt.activism.d
Originator: rich@pencil.cs.missouri.edu
Organization: University of Missouri
Date: Mon, 13 Apr 1992 20:14:22 GMT

                      Public Accommodation
                    REQUEST FOR INVESTIGATION
                 Americans with Disabilities Act
                 Public Law 101-336 - Title III

Name of Business: _________________________________________

___________________________________________________________

Contact Person at business (if known): ____________________

___________________________________________________________

Address: __________________________________________________

City ______________________________________________________

State, District, Territory, or Commonwealth: ______________

___________________________________________________________

Zip Code/Postal Code ______________________________________

United States of America.

Type of Discrimination:

Architectural ___________   Communications ____________

Policy ____________   Other ___________________________

Please describe problem  (What kind of discrimination?  Who, if 
anyone, did you talk to?  What was their response?):






(Continue on another sheet if you need to.)

***************

>>VERY IMPORTANT:

Your Name: ________________________________________________

Address: __________________________________________________

City ______________________________________________________

State, District, Province, Territory, or Commonwealth: 

___________________________________________________________

Postal Code/Zip Code ______________________________________

Country ___________________________________________________

Day Phone (9 a.m. - 5 p.m. in Washington, D.C.) ___________

___________________________________________________________


***************

             PLACES OF PUBLIC ACCOMMODATION INCLUDE:

     1.  Inn, hotel, or other *place of lodging* EXCEPT HOUSING

     2.  Restaurant, bar, other *place that serves food or drink*

     3. Motion picture house, theater, concert hall, stadium, 
other *place of exhibition or entertainment*

     4.  Auditorium, convention center, lecture hall, other 
*place of public gathering*

     5.  Bakery, grocery store, cloting store, hardware store, 
shopping center, other *sales or rental establishment*

     6.  Washateria, dry-cleaner, bank, barber shop, beauty shop, 
travel service, shoe repair service, funeral parlor, gas station, 
office of accountant, lawyer, pharmacy, insurance office, health 
care provider, hospital or other *service establishment*

     7.  Terminal, depot, other *transit station*

     8.  Museum, library, gallery, other *place of public display 
or collection*

     9.  Park, zoo, amusement park, other *place of recreation*

     10. Nursery, elementary, secondary, undergraduate or 
postgraduate private school, or other *place of education*

     11.  Day care denter, senior citizen's center, homeless 
shelter, food bank, adoption agency, other *social service 
agency*

     12.  Gymnasium, health spa, bowling alley, golf course, 
other *place of exercise or recreation*

***************

     If you have questions about who is covered and how, you can 
call the United States Department of Justice in Washington, DC.  
This is not a free call. 202/514-0301 voice and 202/514-0383 TDD.

     Computer users can call the United States Department of 
Justice BBS at 202/514-6193.

     If you have questions about what is Americans with 
Disabilities Act accessible, call the Architectural and 
Transportation Barriers Compliance Board, also known as the 
Access Board.  Toll free within the United States: 800/USA ABLE 
(800/872-2253) voice and DDD.  Outside of toll free calling area: 
202/653-7834.

     Send complaint to:  Department of Justice, Civil Rights 
Division, Americans with Disabilities Act Compliance Office
Post Office Box 66118
Washington, DC 20035-6118



Newsgroups: misc.activism.progressive