Disability Discrimination Act (DDA) Inquiry Activity Log Form
Log and track inquiries related to disability discrimination concerns for effective follow-up and resolution.
Inquiry Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reporter Full Name
*
First Name
Last Name
Reporter Email Address
*
example@example.com
Preferred Contact Method
*
Email
Phone
In Person
Mail
Location or Area Involved
*
Type of Inquiry
*
Please Select
Accessibility Issue
Discrimination Complaint
Request for Accommodation
Policy Clarification
Other
Brief Description of the Concern
*
People Involved or Affected
Immediate Action Already Taken
Desired Follow-up Outcome
Internal Status / Priority
*
Please Select
New
In Progress
Resolved
Closed
Urgent
Submit Log
Should be Empty: