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TITLE VI COMPLAINT FORM County of Johnson, Indiana An Equal Opportunity Employer Section 1: Complainants Name: ___ Date: ___ Address: ___ City, State & Zip Code: ___ Phone Number: ___ Email address:___
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How to fill out title vi complaint form

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How to fill out title vi complaint form

01
Obtain a copy of the Title VI complaint form from the relevant agency or organization.
02
Fill out the form with your personal information including name, address, contact information, and the details of the discrimination experienced.
03
Provide information on the date, time, and location of the incident or incidents that led to the complaint.
04
Describe the nature of the discrimination experienced, including any witnesses or evidence that support your claim.
05
Sign and date the complaint form before submitting it to the appropriate office or agency.

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 by an organization or agency that receives federal funding.
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Title VI complaint form is a form used to file a complaint regarding discrimination on the basis of race, color, or national origin in programs and activities that receive federal financial assistance.
Anyone who believes they have been discriminated against on the basis of race, color, or national origin in a program or activity that receives federal financial assistance is required to file a Title VI complaint form.
To fill out a Title VI complaint form, one must provide their contact information, details of the alleged discrimination, and any supporting documentation. The form can usually be found on the website of the agency or organization receiving federal financial assistance.
The purpose of a Title VI complaint form is to provide a process for individuals to report instances of discrimination on the basis of race, color, or national origin in federally funded programs and activities.
The information that must be reported on a Title VI complaint form typically includes details of the alleged discrimination, personal contact information, and any supporting documentation or evidence.
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