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2. City of Shreveport - Americans with Disabilities (ADA) Feedback

   If you have difficulty with the form, or simply prefer to contact the ADA Compliance Officer directly: Email: derrick.bolden@shreveportla.gov, roslyn.singleton@shreveportla.gov, or john.patterson@shreveportla.gov or  Call (318) 673-5541 | 

3. 
5. ADA COORDINATOR OFFICE
6. FEEDBACK FORM
9. Feedback Categorty
   -- Select One --ProgramsServicesFacilitiesActivitiesCommunications (Website Included)Public Transportation | Paratransit ServicesOther (ADA Related Only)
11. First Name
12. Last Name
14. Telephone Number
15. Email
17. Address1
18. City
19. Zip
21. FEEDBACK

    Please provide a description of your experience, if possible include specific dates, locations and other identifying info. We appreciate your participation and support in helping us to improve our processes.

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23. 1. Receive an email copy of this form.
24. Email address

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