Get the free Before filling out this form, please read the Butte Regional Transit Title VI Complaint
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Please also provide any other documentation that is relevant to this complaint. Complainant s Signature Date. Complaints must be filed within 180 calendar days after the date alleged discrimination occurred. Mailing address 326 Huss Drive Suite 150 Chico CA 95928 Telephone 530-809-4616 Fax 530-879-2444 Complainant s Name Address City State Zip Code Telephone Number Home Other Date of alleged discrimination Which of the following best describes the reason you believe the discrimination took...
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