COMPLAINT INVESTIGATION REPORT



Under Iowa Code Chapter 216




CP#
Investigator:
Date Investigation Completed:
Recommendation(s):

 

Issue: Whether complainant was disabled?

At date of incident, what was Complainant's impairment?

Did Complainant have any physical or mental limitations associated with the impairment?

What limitations?

How long were those limitations expected to last?

Did those limitations affect a major life activity?

Which activity?

How did those limitations affect that activity?

Was the "limiting effect" substantial?

[If working was the only major life activity affected by the limitations]
What was Complainant's work field at date of incident?

Did Complainant's limitations affect his/her ability to secure/maintain jobs in that work field?

Was the "limiting effect" substantial?

[If Complainant was not actually disabled] What did the Incident Doer think Complainant's impairment was?
How long did the Doer think Complainant's impairment would last?

What physical or mental limitations did the Doer think Complainant had?

How long did the Doer think those limitations would last?

Did the Doer think that Complainant's impairment would eventually affect Complainant's ability to secure/maintain work in his/her work field?

Did the Doer think that Complainant's impairment would eventually cost Respondent money or convenience?

Was Complainant's impairment a "motivating" factor in the incident?

Did Complainant have a disability at the date of incident?

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