Get the free Title VI Complaint Form - Black River Falls

Title VI Complaint Form Section I: Name: Address: Telephone (Home): Telephone (Work): Electronic Mail Address: Accessible Format Large Print Audio Tape Requirements? TDD Other Section II: Are you

How to fill out title vi complaint form

How to fill out title vi complaint form

1. Obtain a copy of the Title VI complaint form from the relevant authority or organization.
2. Read and understand the instructions provided with the form.
3. Fill out the personal information section, including your name, address, and contact information.
4. Provide details about the incident or issue you are filing a complaint about.
5. Clearly explain any discrimination or violation you believe has occurred.
6. Include any supporting documents or evidence that may help support your complaint.
7. Sign and date the form.
8. Submit the completed Title VI complaint form to the appropriate authority or organization as indicated.

Who needs title vi complaint form?

1. Anyone who believes they have experienced discrimination in a program or activity that receives federal financial assistance and is covered by Title VI of the Civil Rights Act of 1964 may need to fill out a Title VI complaint form. This includes individuals, organizations, or groups who feel they have been subjected to unfair treatment or denied benefits, services, or opportunities based on race, color, or national origin.

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