Get Jta Complaints

This guide provides detailed instructions on completing the Jta Complaints form, which is designed to report discrimination under Title VI of the Civil Rights Act of 1964. Follow these steps to ensure your complaint is submitted accurately and efficiently.

Follow the steps to complete the form correctly.

1. Press the ‘Get Form’ button to access the Jta Complaints form and open it in your preferred editing tool.
2. Fill in your complaint number in the designated space at the top of the form.
3. Enter your full name in the ‘Name’ field, followed by your home phone number, email address, and work phone number in the corresponding sections.
4. Provide your complete address, including city and zip code, in the appropriate lines.
5. Identify the type of discrimination you experienced by checking all applicable boxes: race, national origin, color, or other. Specify if necessary.
6. If your complaint is based on race or color, please indicate your specific race/color.
7. Describe your national origin if it is relevant to your complaint.
8. Detail the location where the incident occurred.
9. Record the time and date of the incident in the appropriate section.
10. Enter the name and position title of the individual who allegedly subjected you to discrimination.
11. Briefly describe the incident, using additional sheets if necessary, ensuring that your description is clear and thorough.
12. Indicate whether there were any witnesses to the incident by checking ‘Yes’ or ‘No’, and list their names, addresses, and telephone numbers if applicable.
13. State whether you have filed a complaint about this incident with the Federal Transit Administration and provide the date if applicable.
14. Complete the affirmation section by signing and dating the form to confirm that the information provided is accurate to the best of your knowledge.
15. Once you have filled in all the information, save your changes, and choose whether to download, print, or share the completed form.

We encourage you to complete the Jta Complaints form online to ensure your concerns are addressed promptly.