Discrimination-Complaint-Form-3-23
Title VI Nondiscrimination Statement
TITLE VI COMPLAINT PROCEDURES
A complaint must be filed within 180 days to the date of the alleged discrimination. The complaint should include:
- Name, address and telephone number of complainants
- Name and address of the agency, institution, or department complainant believes discriminated against him/her
- Include as much specific, detailed information as possible about the alleged act of discrimination, and other relevant information
- Name of any person, if know, who can be contracted for clarity of allegations
- Complaint must be signed
