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TITLE VI COMPLAINT FORM Title VI Complaint of Discrimination Form Section I. Complainant Name: Complainant Address: Complainant Telephone (Home): Complainant Electronic Mail Address: Accessible Format
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How to fill out title vi complaint form

01
Obtain a Title VI complaint form from the relevant agency or organization.
02
Fill out your personal information, including name, address, and contact information.
03
Describe the incident or situation that you believe violates Title VI regulations.
04
Include details such as dates, times, locations, and individuals involved.
05
Explain how you believe your rights were violated and the impact it has had on you.
06
Sign and date the complaint form before submitting it to the appropriate agency or organization.

Who needs title vi complaint form?

01
Any individual who believes they have been discriminated against on the basis of race, color, or national origin in programs or activities receiving federal financial assistance.
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Title VI complaint form is a form used to report discrimination based on race, color, or national origin in programs or activities receiving federal financial assistance.
Any person or group who believes they have been subjected to discrimination based on race, color, or national origin in a program receiving federal financial assistance is required to file a Title VI complaint form.
Title VI complaint forms can be filled out by providing information about the incident, including date, location, and a description of the alleged discrimination. Contact information for the person filing the complaint is also required.
The purpose of the Title VI complaint form is to provide individuals with a way to report discrimination based on race, color, or national origin in federally funded programs or activities.
Information such as the date, location, and description of the alleged discrimination, as well as contact information for the person filing the complaint must be reported on the Title VI complaint form.
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