Get Vdot Title Vi Evaluation Form - Virginia Department Of Transportation - Virginiadot

Filling out the VDOT Title VI Evaluation Form is essential for contractors working with the Virginia Department of Transportation to ensure compliance with nondiscrimination laws. This guide will help you understand the process and complete the form accurately, whether you are submitting it for a pre-award or post-award review.

Follow the steps to effectively complete the VDOT Title VI Evaluation Form online.

1. Press the ‘Get Form’ button to access the VDOT Title VI Evaluation Form online and open it in your preferred document editor.
2. Begin by entering your contact information. Fill in the name of the preparer, their title, phone number, and email address. This information helps VDOT communicate with you regarding the evaluation.
3. Input the name and address of your organization. It is important to ensure this information is accurate to avoid any delay in processing.
4. Specify the address of the Virginia location where the project will be conducted. This detail is crucial for mapping compliance with state requirements.
5. Select the appropriate type of contractor or organization. Mark the box that corresponds to whether you are a private organization, governmental agency, supplier, or other.
6. Indicate the workforce composition for the Virginia location, including the percentages of minority and female employees. This helps assess demographic representation.
7. Provide information regarding business ownership and control. Indicate if your organization is minority-owned, female-owned, and if it holds DBE or SWAM certifications.
8. Answer whether your organization currently has contracts or subcontracts with VDOT. Include the date of your organization's most recent Title VI approval.
9. Detail the status of your projects and provide values for your current contracts. This information is necessary for financial assessments.
10. Describe what measures are in place within your organization to prevent discrimination in your VDOT scope of work and programs.
11. Complete the employment analysis section by reporting the number of employees categorized by race and ethnicity, following the instructions carefully.
12. For Title VI compliance, specify how your staff is made aware of Title VI regulations and what procedures are in place for nondiscrimination.
13. Describe how your organization accommodates people with disabilities and ensures accessibility in facilities and meeting areas.
14. State whether your organization has received federal assistance and any complaints or lawsuits related to discrimination during the reporting period.
15. Finally, certify the information provided is accurate by signing and dating the form. Make sure to submit the original signature with your report.
16. Once all sections are complete, review the form for accuracy, then save your changes. You can choose to download, print, or share the completed form as needed.

Complete and submit your VDOT Title VI Evaluation Form online to ensure compliance and support nondiscrimination efforts.