Administrative Requirements Public Entity Date Contact Person Email Phone Title II requires that public entities undertake five administrative steps to promote implementation of the ADA. Question 1. - Has a self-evaluation been conducted? (Required no matter the number of employees.) Yes No Comments Next steps Question 2. - Is public notice that the public entity does not discriminate on the basis of disability provided in print and audio formats? (Required no matter the number of employees.) Methods may include the website, social media such as Twitter and Facebook, print notices at facilities and in local newspapers and public service announcements on local radio and television stations. Yes No Comments Next steps Question 3. - Has a grievance procedure been adopted to resolve disability-related complaints? (Required if 50 or more employees.) Yes No Comments Next steps Question 4. - Has at least one employee been appointed to coordinate the public entity's ADA obligations - ADA Coordinator? (Required if 50 or more employees.) Yes No Comments Next steps Question 5. - Has a transition plan been developed to address barriers in facilities that affect equal participation of people with disabilities in the public entity’s programs, activities and services? (Required if 50 or more employees.) Yes No Comments Next steps New England ADA Center, a project of the Institute for Human Centered Design ADA Self-Evaluation - Admonistrative Requirements www.NewEnglandADA.org ADAinfo@NewEnglandADA.org