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ANNUAL FTA RECIPIENT ADA/TITLE VI RECERTIFICATION COMPLIANCE REVIEW 232010 R05/17azdot. Nova response to each question is required. FTA Subrecipient Name:Name of Reviewer:Address:Date of Recertification:Please
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How to fill out title vi self-certification form
01
To fill out the Title VI Self-Certification form, follow the steps below:
02
Start by downloading the Title VI Self-Certification form from the official website.
03
Read the instructions carefully to understand the requirements and purpose of the form.
04
Fill in your personal information, including your name, contact details, and organization, if applicable.
05
Provide accurate information about your organization's non-discrimination policy.
06
include any supporting documents or evidence of compliance with Title VI regulations.
07
Review the form to ensure all information is complete and accurate.
08
Sign and date the form, indicating your agreement to the statements mentioned.
09
Submit the completed form as per the instructions provided.
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Note: It is advisable to keep a copy of the filled form for your records.
Who needs title vi self-certification form?
01
Any organization or entity that receives federal funding or assistance is required to fill out the Title VI Self-Certification form. This includes but is not limited to government agencies, educational institutions, healthcare providers, nonprofits, and other service providers. The purpose of the form is to ensure compliance with Title VI regulations, which prohibits discrimination based on race, color, or national origin in programs or activities receiving federal assistance.
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What is title vi self-certification form?
The Title VI self-certification form is a document used to certify compliance with Title VI of the Civil Rights Act of 1964.
Who is required to file title vi self-certification form?
Entities receiving federal funds and providing services covered by Title VI are required to file the self-certification form.
How to fill out title vi self-certification form?
The form typically requires providing information about the entity, the services provided, the beneficiaries, and the measures taken to ensure compliance with Title VI.
What is the purpose of title vi self-certification form?
The purpose of the form is to ensure that entities receiving federal funds are not discriminating on the basis of race, color, or national origin.
What information must be reported on title vi self-certification form?
The form may require information about the entity's policies, procedures, training programs, and complaint processes related to Title VI compliance.
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