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TITLE VI/ADA EXTERNAL COMPLAINT FOR MEMBERS OF THE PUBLIC North Dakota Department of Transportation, Civil Rights Division SON 51795 (Rev. 022016) PART I COMPLAINANT INFORMATION (Print all items legibly.)
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How to fill out title viada external complaint

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Point by point instructions on how to fill out a Title VI ADA external complaint:
01
Begin by gathering all relevant information including the date, time, and location of the incident, as well as names of individuals involved and any witnesses.
02
Next, clearly describe the incident or discrimination that occurred. Provide as much detail as possible, including specific examples, behaviors, or actions that violated Title VI ADA.
03
Identify the agency, organization, or institution that the complaint is being filed against. Include any contact information or details that are available.
04
Indicate whether any previous attempts were made to resolve the issue, such as discussing concerns with supervisors or submitting internal complaints. If so, provide details of these previous actions.
05
Attach any supporting documentation, evidence, or relevant materials that strengthen your complaint. This may include photographs, videos, emails, or written correspondence.
06
Proceed to include your personal contact information, including your name, address, phone number, and email address. This will ensure that you can be reached for any further communication or clarification.
07
Sign and date the complaint form to confirm that the information provided is accurate and truthful to the best of your knowledge.

Who needs a Title VI ADA external complaint?

01
Individuals who have experienced discrimination or violation of their rights under Title VI of the Civil Rights Act of 1964 and the Americans with Disabilities Act (ADA) outside of their workplace or institution.
02
Employees or visitors who have encountered discriminatory practices, such as denial of services, harassment, or unequal treatment, in public transportation, educational institutions, healthcare facilities, government agencies, or any other federally funded program or activity.
03
People who believe that they have been subjected to discriminatory acts based on race, color, or national origin and have been affected by these actions or policies.
Remember, it is crucial to consult with legal professionals or contact the appropriate institution or agency to obtain the specific complaint form and ensure that all guidelines are followed.
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Title VIADA external complaint is a complaint filed against a violation of Title VIADA of the Civil Rights Act.
Any individual or organization that believes a violation of Title VIADA has occurred is required to file a title viada external complaint.
Title viada external complaint can be filled out by providing detailed information about the alleged violation, including dates, locations, and names of individuals involved.
The purpose of title viada external complaint is to address and rectify violations of Title VIADA and ensure compliance with civil rights laws.
Title viada external complaint must include details of the alleged violation, supporting evidence, and contact information of the complainant.
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