Request For Reasonable Accommodation Form - Dc Department Of Human Services (Page 2 of 2) in pdf

If you disagree with the Reasonable Accommodation Decision, you have the right to Appeal

and to file a Complaint

Your Right to Appeal Your Accommodation Request

You can ask for an appeal in any of the following ways:

1. Ask your Program Director to appeal the decision through the program’s internal grievance

process. Each grievance related to a reasonable accommodation request will be brought to the

Community Partnership’s attention for further review.

2. Within 60 days of the Reasonable Accommodation Decision, contact the DC Department of

Human Services (DHS) ADA Coordinator at 202-671-4422 phone, 202-671-0180 fax, 202-671-

4495 TTY to file an appeal with DHS.

3. Within 90 days of the Reasonable Accommodation Decision, call the DC Office of

Administrative Hearings (OAH), at 727-8280 or send in your request in writing to the Office of

Administrative Hearings, 441 4

Street, N.W., Suite 540 South, Washington, D.C. 20001. (You

can also tell a staff member where you reside that you want a Fair Hearing and he or she must

help you make your request or you can call the Family Services Administration, at 541-3914.)

OAH will schedule you for an administrative review with DHS. If that hearing doesn’t resolve your

concerns, you will get a fair hearing with OAH. At your administrative review or hearing, you have

the right to be represented by a lawyer (see below), relative, or any other person of your choice

who is not an employee of the D.C. Government and to bring witnesses or evidence that helps

your case.

Your Right to File a Complaint

If you believe that your rights have been ignored or violated or that you have been discriminated against, you

have the right to file a complaint with DC government agencies or in court.

You can file a complaint in any of the following ways:

1. Within 60 days of the decision, contact the DC Department of Human Services (DHS) ADA

Coordinator at 202-671-4422 phone, 202-671-0180 fax, 202-671-4495 TTY to file a complaint of

disability discrimination or violation of disability rights.

2. Mail a complaint to the Department of Justice, 950 Pennsylvania Avenue, NW, Civil Rights

Division, Disability Rights Section-NYA, Washington, DC 20530.

3. Call the D.C. Office of Human Rights at 202-727-4557 phone 202-727-4559, 202-727-8673

TTY. They will interview you to investigate and process your complaint.

4. File a lawsuit in D.C. Superior Court or federal court. You may want to seek legal advice if you

decide to file a lawsuit (see below). See below for free legal representation.

How to Get Help Appealing or Filing a Complaint

To help you understand your rights and to represent you in appeals or complaints, free lawyers may be

available from:



The Washington Legal Clinic for the Homeless at (202) 328-5500



Legal Aid Society of the District of Columbia at (202) 628-1161



Bread for the City at (202) 265-2400 OR (202) 561-8587

TCP Request for Reasonable Accommodation Form

Request For Reasonable Accommodation Form - Dc Department Of Human Services Page 2