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Cisco Bay Island Transit District
Discrimination Complaint Form
(EEO/Title VI/ ADA)
NamePhoneName of Person(s) that you feel discriminated
against you (if known)AddressPosition or Title of person
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What is eeo-title-vi-ada-discrimination-complaint-form?
The EEO Title VI ADA Discrimination Complaint Form is a document used by individuals to formally report incidents of discrimination based on race, color, national origin, disability, or religion in programs and activities that receive federal financial assistance.
Who is required to file eeo-title-vi-ada-discrimination-complaint-form?
Individuals who believe they have experienced discrimination based on race, color, national origin, disability, or religion in a federally funded program or activity are required to file this complaint form.
How to fill out eeo-title-vi-ada-discrimination-complaint-form?
To fill out the EEO Title VI ADA Discrimination Complaint Form, provide your personal information, describe the incident of discrimination in detail, include any relevant dates and evidence, and sign the form before submitting it to the appropriate agency.
What is the purpose of eeo-title-vi-ada-discrimination-complaint-form?
The purpose of the form is to allow individuals to formally file a complaint regarding discrimination, ensuring that their concerns are documented and investigated by the relevant authorities.
What information must be reported on eeo-title-vi-ada-discrimination-complaint-form?
The information that must be reported includes the complainant's contact details, a description of the discrimination incident, the names of involved parties, dates of the incident, and any relevant supporting documentation.
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