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Serving Anderson, Boyle, Casey, Franklin, Gerrard, Jess amine, Lincoln, Mercer, Scott, Washington and Woodford Counties. TITLE VI COMPLAINT FORM (page 1): First Name:Last Name:Address:City/State:Zip
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How to fill out title vi complaint form

01
To fill out the Title VI complaint form, follow these steps:
02
Begin by downloading the Title VI complaint form from the official website or request a physical copy from the relevant organization.
03
Fill out your personal information, including your name, address, and contact details.
04
Provide a detailed description of the alleged violation or discrimination you experienced, including dates, locations, and any individuals involved.
05
Attach any supporting documentation or evidence that can substantiate your complaint.
06
Sign and date the complaint form.
07
Submit the completed form either in person, via mail, or through the designated online submission portal.
08
Keep a copy of the filled-out complaint form and any supporting documents for your records.
09
Follow up with the responsible organization to inquire about the progress of your complaint.

Who needs title vi complaint form?

01
Anyone who believes they have faced discrimination or a violation of their rights covered under Title VI of the Civil Rights Act of 1964 may need to fill out a Title VI complaint form. This may include individuals who have encountered discrimination based on race, color, national origin, or limited English proficiency while accessing programs, services, or activities provided by recipients receiving federal financial assistance.
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The Title VI complaint form is a document used to report discrimination based on race, color, or national origin in programs and activities receiving federal financial assistance.
Anyone who believes they have been subjected to discrimination in a program or activity receiving federal funding can file a Title VI complaint form.
To fill out the Title VI complaint form, provide your contact information, describe the discrimination incident, include details about the program or service involved, and sign the form.
The purpose of the Title VI complaint form is to ensure that individuals can report violations of their rights under Title VI of the Civil Rights Act of 1964, promoting equal access to federally funded programs.
The complaint form requires your name, address, phone number, the name of the agency or organization involved, details of the incident, and any witnesses to the discrimination.
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