National Association for Barrier Free Access, Inc.

File A Claim

Submit a Claim

If you’ve been denied access to an establishment or harassed or humiliated by staff because of your handicap, please complete the form below. A representative will then contact you within three business days to discuss the matter further.

Your Information
First Name:
Last Name:
Phone:
Mobile Phone:
Email:
State:
Provide a brief description of your Disability:

Location of Incident
Company Name:
Type of Business:
Manager name (if known):
Phone (if known):
Email:
State:
Provide a brief description of What happened