Civil Rights Complaint Procedure and Form

Procedure for Handling Complaints of Discrimination

1. Complaints of discrimination must be filed within 180 days of the alleged discrimination.
2. Complaints of discrimination can be submitted by completing this form and should be returned to the Executive Director - Finance & Operations, Matt Sullivan. 
3. Complaints of discrimination may be written or verbal. Use of a form is not required for a person
filing a complaint. If a person is unwilling, unable, or not inclined to put the complaint in writing,
the person taking the complaint shall do so. (Complaint Form attached)
4. Complaints of discrimination should contain as much of the following information as possible:
a. Name, address, email address, and telephone number or other means of containing the
complainant.
b. The specific location and name of the entity providing the benefits.
c. A description of a specific action that caused the complainant to believe that
discrimination was a factor.
d. Basis on which a complainant feels that discrimination occurred (race, color, national
origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or
retaliation to prior civil rights activity).
e. Names and titles, if known, and addresses of persons who may have knowledge of the
discriminatory action.
f. The date(s) of the alleged discriminatory actions occurred or the duration of such action.