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Click ‘Get Form’ to open the TITLE VI COMPLAINT FORM in the editor.
Begin by filling out your personal information in the 'Complainant’s Name and Address' section. Include your name, address, city, state, zip code, and contact numbers.
If applicable, provide details for the person(s) discriminated against in the next section. Ensure you include their name and contact information.
Identify the City department, contractor, or sub-recipient involved in the discrimination by completing that section with relevant details.
Indicate the reasons for your complaint by selecting from options such as race/ethnicity, sex, age, etc., ensuring clarity on why you believe discrimination occurred.
List the dates of discrimination accurately. Provide both the earliest and most recent dates to establish a timeline.
In the explanation section, describe what happened in detail. Include who was involved and how you were treated differently. Attach any additional documents if necessary.
Finally, sign and date your complaint at the bottom of the form. Remember that unsigned complaints will not be accepted.
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Sep 2, 2016 The text below reflects the changes made by the FOIA Improvement Act of 2016 [1] , and is categorized by headings and sub-headings to facilitate linking within
Please describe the incident and why you believe you were discriminated against. Include as many specific details as possible. If more space is needed, use the
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