Click here to return to the E-Government Services start page
Welcome to the Village of Romeoville, IL, Action Line
Today is Monday, April 15, 2024.
Americans with Disabilities (ADA) Act Complaint Form

Purpose. The Village of Romeoville is committed to ensuring that no person is denied access to its services, programs, or activities on the basis of their disabilities, as provided by the Americans with Disabilities Act. The following information is necessary to assist us in processing your complaint. If you require any assistance in completing this form, or if you would like to make a verbal complaint, please contact Eric Bjork 815-886-1870.

* Information is required.

Contact Information

First Name:
Last Name:
Daytime Phone: (

Person Preparing Complaint (If different from Complainant)
Date of Incident
Please describe the alleged discriminatory incident or location. Provide as much as detail as possible.
Have you filed a complaint with any other federal, state or local agencies? If yes list the agency/agencies and contact information below

If you have filed a complaint with another agency for this incident please provide information the agency name, contact name and number
Attach a Picture or File (max size: 30MB):
Add Another FIle


Check here to have email confirmation of this submission.

* Information is required.


If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.

Village Home | E-Gov Home | Action Line | Community Calendar | Online Documents | Business Listings
Login | Register | Privacy Policy
Copyright ©2004-2024. Electronic Commerce Link, Inc. dba egovlink.