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ADA and Workers' Compensation Claims: Member Experience Survey
Regarding Her is tracking ADA website claims, ADA brick-and-mortar accessibility lawsuits, and workers' compensation filings affecting our members. This survey helps us understand the scope and pattern of what's happening across our community. Your answers stay confidential and are used only for advocacy purposes, including our work with LA City Council. This should take about five minutes.
Thanks so much in advance for taking the time to share your thoughts!
SECTION 1
: Background Information
SECTION 2
: Type of Claim
SECTION 3
: Claim Details
SECTION 4
: Support & Next Steps
SECTION 1: BACKGROUND INFORMATION
First Name
*
Last Name
*
Name of Business(es)
*
Primary Email Address
*
Primary Cell Phone
*
BUSINESS ADDRESS
Street Address 1
*
Street Address 2
City
*
State
*
Zip Code
*
Business Neighborhood
*
Is your business located in Los Angeles County?
*
Yes
No
Is your business currently open?
*
Open
Closed - Out of Business
Temporarily Closed
What is your business type?
*
Sole Proprietorship
Limited Liability Company (LLC)
Corporation
Partnership
Nonprofit Organization
Other
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