Get Nj Title Vi Non-discrimination Complaint Form 2019-2025

The NJ Title VI Non-Discrimination Complaint Form is a vital document for individuals wishing to report instances of discrimination. This guide provides clear, step-by-step instructions to help you complete the form correctly and efficiently online.

Follow the steps to effectively fill out the NJ Title VI Non-Discrimination Complaint Form.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin filling out the form by providing your full name, street address, city, state, and ZIP code in the designated fields. Ensure each detail is accurate for effective communication.
3. Indicate your contact number by entering your home, work, and cell phone numbers. This will help the NJTPA reach you if they need further information.
4. If you are filing on behalf of someone else who experienced discrimination, provide their name, address details, and other contact information as prompted.
5. State your relationship to the individual discriminated against. This helps clarify the nature of your complaint.
6. Identify the agency, department, or program you are filing the complaint against. Include the name of the responsible individual if known, alongside their contact details.
7. Provide specific details within the section for explaining how discrimination occurred. Include as much relevant information as possible, including the dates discrimination started and ended.
8. Specify the basis of discrimination by selecting applicable categories, such as race, color, age, disability, etc.
9. If there were any witnesses to the discrimination, provide their names and contact information.
10. Review all your entries for accuracy before signing the form and dating it at the indicated spots.
11. Once completed, you can save changes, download, or print the form for submission. If preferred, share it directly from the editing platform.

Complete your complaint form online today to ensure your voice is heard regarding discrimination.