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Clear FormTITLE VI SUBRECIPIENT ANNUAL CERTIFICATION FORMMichigan Department of Transportation 0179 (07/17)Page 1 of 1This form is to certify compliance with Title VI of the Civil Rights Act of 1964.

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How to fill out the Form 0179 online

This guide provides clear instructions on how to fill out Form 0179, the Title VI Sub-Recipient Annual Certification Form. By following these steps, users can ensure compliance with Title VI of the Civil Rights Act of 1964 and report necessary changes in a straightforward manner.

Follow the steps to fill out and submit Form 0179 online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. In the first section, provide the name of the organization and the details of the Title VI Coordinator, including their position title, address, county, city, telephone number, state, zip code, email address, and fax number.
  3. Review question one regarding any changes to the Title VI Coordinator/EEO Officer. If there has been a change, provide the new coordinator's name and contact information.
  4. Once you have filled out all sections of the form, review for accuracy. You can then save your changes, download the form, print it, or share it as required.

Complete Form 0179 online to ensure your organization's compliance with Title VI guidelines.

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