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Civil Rights Discrimination Complaint Form COMPLAINANT INFORMATION Name: Address: Phone No.: Email: I am filing a complaint on behalf of: self someone else BASIS OF COMPLAINT: (Mark all that apply)

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What is title vi complaint form?

Title VI complaint form is a form used to file a complaint regarding discrimination based on race, color, or national origin in programs or activities that receive federal financial assistance.

Who is required to file title vi complaint form?

Any individual who believes they have been subjected to discrimination based on race, color, or national origin in a program or activity that receives federal financial assistance is required to file a Title VI complaint form.

How to fill out title vi complaint form?

To fill out a Title VI complaint form, the individual must provide their personal information, details of the alleged discrimination, and any supporting evidence.

What is the purpose of title vi complaint form?

The purpose of the Title VI complaint form is to allow individuals to report instances of discrimination based on race, color, or national origin in federally-funded programs or activities.

What information must be reported on title vi complaint form?

The Title VI complaint form requires information such as the name of the person filing the complaint, details of the alleged discrimination, date and location of the incident, and any witnesses or evidence.

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