Access Improvement Request

The city will make every reasonable effort to ensure that confidentiality is maintained throughout the request process. This means the city will share any sensitive information you provide here only on a need-to-know basis.

*Required fields

Complainant Information

Name:
Home Address: Zip Code:
Citizen: Employee: Designee:

Telephone:
E-mail:
Designee Information: (if applicable)
Name: Telephone: E-mail:

Details of Complaint
*Date of Incident:
*Please provide the address of city facility where barrier was encountered or incident occurred.
Did you speak with a city of Las Vegas employee? Yes No If yes, please provide name and title, if known:
Please explain in detail the barrier that was encountered. Be sure to include the names and contact information of all individuals involved or witnesses of the incident.
Please provide the requested improvement:

If you would prefer to speak to Holly Jensen directly in lieu of submitting your complaint online, she can be reached at (702) 229-5048, Monday through Thursday from 7:30 a.m. – 5:30 p.m. You may also print the Access Improvement Request Form and send via fax or US mail.

Contact Information
ADA/Section 504 coordinator
City Hall, First Floor
495. S. Main St.
Las Vegas, NV 89101 (Map)
Phone: (702) 229-5048
Cell: (702) 274-3093
Fax: (702) 464-5752
TTY: (702) 386-9108
E-mail