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Title VI Complaint Form

  1. Instructions: To submit a Title VI complaint please fill out the form below.

  2. 7. Discrimination because of

  3. 13a. Have you filed this complaint with any other federal, state, or local agency; or any federal or state court?

  4. 13b. If yes, check all that apply

  5. Leave This Blank:

  6. This field is not part of the form submission.