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HORRY COUNTY GOVERNMENT
TITLE VI COMPLAINT FORENAME___
STREETADDRESS___
CITY, STATE, ZIP CODE___
PHONE___NAME, POSITION AND DEPARTMENT OF PERSON WHO DISCRIMINATED AGAINST
YOU:
NAME___
DEPARTMENT___
POSITION___
LOCATION___PLEASE
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How to fill out title vi complaint form
How to fill out title vi complaint form
01
Obtain a copy of the Title VI complaint form from the appropriate agency or organization.
02
Fill in your personal information such as name, address, phone number, and email address.
03
Clearly describe the incident or issue that led to the discrimination or violation of Title VI.
04
Include details such as date, time, location, and the parties involved in the incident.
05
Provide any supporting documentation or evidence that can help substantiate your claim.
06
Sign and date the complaint form before submitting it to the designated Title VI coordinator or office.
Who needs title vi complaint form?
01
Individuals who believe they have been discriminated against on the basis of race, color, or national origin by any agency, organization, or program that receives federal financial assistance.
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What is title vi complaint form?
The Title VI complaint form is a document used to report discrimination by a recipient of federal funding based on race, color, or national origin, as outlined in Title VI of the Civil Rights Act of 1964.
Who is required to file title vi complaint form?
Any individual or group who believes they have been subjected to discrimination under programs or activities receiving federal financial assistance may file a Title VI complaint.
How to fill out title vi complaint form?
To fill out the Title VI complaint form, provide your contact information, details of the alleged discrimination, the facts supporting your complaint, and any witnesses or evidence. Be sure to sign and date the form.
What is the purpose of title vi complaint form?
The purpose of the Title VI complaint form is to provide a systematic way for individuals to report incidents of discrimination to ensure that the rights of those affected are protected and that the responsible entities are held accountable.
What information must be reported on title vi complaint form?
The form must include the complainant's contact information, a description of the discrimination, the date of the incident, the recipient of federal funds involved, and any relevant supporting details.
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