VCA Grievance Form
A grievance is an informal complaint alleging that the Virginia Commission for the Arts (VCA) discriminated on the basis of disability, or did not comply with the Americans with Disabilities Act (ADA) or Section 504 accessibility requirements. Grievances should be submitted to VCA's Accessibility Coordinator as soon as possible but no later than 90 days after the alleged violation.
Grievant Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Grievance Issue
VCA Location of Grievance
*
VCA Website
VCA Reid's Row Location
VCA Program Site
Virtual / Online Platform
Other
If “Other” is selected, please specify:
Date of Issue
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Accessibility-Related Issue
*
Physical Accessibility Barrier
Communication Access
Website / Digital Access
Program Participation
Policy or Procedure
Other
If "Other" is selected, please specify:
Did You Submit an Accommodation Request?
*
Yes
No
If "Yes" is selected, when did you submit the request?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
If "Yes" is selected, please specify your request
Upload attachments related to grievance if necessary
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I confirm that the information I have provided is complete and accurate to the best of my knowledge
*
I confirm
What to Expect
After you submit this form, the Accessibility Coordinator will review your grievance within 15–30 business days. You may be contacted if additional clarification is needed. Once the review is complete, you will receive a response outlining the findings and any potential resolutions.
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