ADA Complaint & Reasonable Modification Request Form

2. The Village Shuttle is committed to providing safe, reliable, courteous, accessible and user-friendly services to its customers. To ensure equality and fairness, the Village Shuttle is committed to making reasonable modifications to its policies, practices and procedures to avoid discrimination and ensure programs and services are accessible to individuals with disabilities. Questions regarding ADA Policy can be made by calling 970-923-3500 or completing the online form below.

   The Village Shuttle is committed to providing safe, reliable, courteous, accessible and user-friendly services to its customers. To ensure equality and fairness, the Village Shuttle is committed to making reasonable modifications to its policies, practices and procedures to avoid discrimination and ensure programs and services are accessible to individuals with disabilities. Questions regarding ADA Policy can be made by calling 970-923-3500 or completing the online form below.

4. First Name

5. Last Name

7. Email

8. Phone Number

10. Physical Address

12. Mailing Address

14. City

15. State

16. Zip

18. Briefly describe your complaint or your Reasonable Modification Request

Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field