Alabama Disabilities Advocacy Program
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ALABAMA DISABILITIES ADVOCACY PROGRAM
GRIEVANCE FORM

Please compete the sections below which apply to your concerns.
    Describe the type of help you requested from ADAP.
    ADAP told me it would not provide me services. I disagree with ADAP’s decision. 
    (Explain and indicate the date on which you were informed of ADAP’s decision.)  
    ADAP closed my case or limited the services I would receive.  I disagree with ADAP’s decision.
    (Explain and indicate the date on which you were informed of ADAP’s decision.)
    I am unhappy with the services that ADAP provided me. 
    (Explain and indicate the date on which you were informed of the action(s).)
    I believe ADAP has treated me unfairly or has not carried out its legal obligations. 
    (Explain and indicate the date on which you were informed of the action(s).)
Submit
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