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Title VI Complaint Form Section I: Name: Address: Telephone (Home): Telephone (Work): Electronic Mail Address: Accessible Format Requirements? (Circle One) Large Print, Audio Tape, TDD, Other Section
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Title VI complaint form is a document used to file a complaint regarding any alleged discrimination based on race, color, or national origin in programs or activities that receive federal financial assistance.
Anyone who believes they have been subjected to discrimination in a program or activity that receives federal financial assistance is required to file a Title VI complaint form.
To fill out a Title VI complaint form, you need to provide your personal information, describe the alleged discriminatory act, provide details of the program or activity involved, and sign the form before submitting it.
The purpose of the Title VI complaint form is to provide individuals with a proper channel to report any alleged discrimination and allow the relevant authorities to investigate and address the issue.
The Title VI complaint form requires the reporting of personal information such as name, contact details, and demographic information. Additionally, it requires a detailed description of the alleged discriminatory act and information about the program or activity involved.
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