CDHS ADA Grievance Procedure
This Grievance Procedure is established to meet the requirements of the Americans with Disabilities Act of 1990 (ADA). It may be used by anyone who wishes to file a complaint alleging discrimination on the basis of disability in the provision of services, activities, programs, or benefits by the Colorado Department of Human Services (CDHS).

Please note the following:
  • Auxiliary aids and reasonable accommodation services are coordinated and provided directly through the program, division, or office. 
  • This Procedure does not apply to employment-related complaints of disability discrimination, which are governed by different policies and procedures.
Dr. Taylor Wesley, ADA Title II Coordinator, oversees coordinated efforts to comply with and carry out responsibilities under ADA Title II § 35.107, including investigation of any complaint alleging noncompliance or alleging any actions prohibited by ADA Title II. Dr. Wesley’s contact information:

Dr. Taylor Wesley (she/her)
ADA Title II Coordinator
3648 W. Princeton Cir., Denver, CO 80236
CDHS_ADA@state.co.us
720.916.8613

Complaints alleging any action prohibited by ADA Title II must follow the grievance procedure. The complaint should be in writing and contain information about the alleged discrimination such as name, address, phone number of complainant and location, date, and description of the problem (including specific accommodation/service request denied). Alternative means of filing complaints, such as personal interviews or a tape recording of the complaint, will be made available for persons with disabilities upon request.

The complaint should be submitted by the grievant and/or his/her designee as soon as possible but no later than 60 calendar days after the alleged violation.

How to file your grievance
  1. Use the form below.  The official receipt date of your submission will be the day you submit the form
    OR
  2. Send your grievance via postal mail, including the information outlined above, to:
    Dr. Taylor Wesley
    3648 W. Princeton Cir., Denver, CO 80236
    OR
    Email: CDHS_ADA@state.co.us
    OR
    Call 303.866.3275 to have someone verbally receive and enter in your grievance into the form. 
Note: The official receipt date of your submission will be the day your postal submission is physically received by the ADA Title II Coordinator. If your grievance is lost, damaged, or otherwise made illegible en route to the ADA Title II Coordinator, CDHS will not and cannot be at fault. Requesting evidence of delivery, such as a return receipt, with your preferred delivery service is recommended but not required. Please note, CDHS will only respond to emails in which relevant parties are copied. If nonessential staff to the ADA process are copied, we will not respond.

What happens after you file
  • Within 15 calendar days after receipt of the complaint, the ADA Team member may meet with the complainant to discuss the complaint and the possible resolutions. Within 15 calendar days of the meeting or review of the grievance information, the ADA Team member will respond in writing, and where appropriate, in a format accessible to the complainant, such as large print, Braille, or audio tape. The response will explain the position of the Colorado Department of Human Services and offer options for substantive resolution of the complaint.
  • If the response by the ADA Team member does not satisfactorily resolve the issue, the complainant and/or his/her designee may appeal the decision within 15 calendar days after receipt of the response to the Chief EDI Officer, Dr. Sandy Ho or their designee.
  • Within 15 calendar days after receipt of the appeal, Dr. Ho or their designee may meet with the complainant to discuss the complaint and possible resolutions.  Within 15 calendar days after the meeting or review of the grievance information, Dr. Ho or their designee will respond in writing, and, where appropriate, in a format accessible to the complainant, with a final resolution of the complaint. All written complaints received by Dr. Taylor Wesley or their designee, appeals to Dr. Sandy Ho or their designee, and responses will be retained by the Colorado Department of Human Services (CDHS) for at least three years.
Get help with this form

If you have questions about this form, need an accommodation, or a different format, please contact the CDHS ADA Team at CDHS_ADA@state.co.us. Please allow 15 days to respond to your complaint and an additional 15 days to investigate. Please note, CDHS will only respond to emails in which relevant parties are copied. If nonessential staff to the ADA process are copied, we will not respond.
Sign in to Google to save your progress. Learn more
Email *
Electronic Filing Agreement
*
If you do not agree with the Electronic Filing Terms below, please use an alternative submission method (such as postal mail).

Electronic Filing Terms

By completing this electronic grievance form, I affirm that I:
  • Have read and understood the process outlined herein, including the normal timeline of events.
  • Understand that my electronic signature, to be provided at the end of this form, shall be valid and used in lieu of a wet (ink) signature.
  • Agree to be contacted via phone, postal mail, or email as necessary using the information I provide on this form.
Required
Your Name *
Please include both your first and last name.
Your Preferred Phone Number *
Phone Type *
What type of phone number is your preferred number?
Reason for grievance/complaint, or why you feel you have been discriminated against. Please be specific and provide as information as possible i.e. location, date, time, names etc.
*
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of State.co.us Executive Branch.

Does this form look suspicious? Report