TITLE VI Public Notice
ADA/Title VI Complaint Form
Background This form is used for both Title VI and Americans with Disabilities Act (ADA) complaints. The Civil Rights of 1964 (Title VI) identifies the three classes protected by Title VI—race, color, and national origin—and allow the complainant to select one or more of those protected classes as the basis/bases for discrimination. If any of the Limited English Proficient (LEP) populations in our service area meet the Safe Harbor threshold, then the procedure will be provided in English and in any other language(s) spoken by LEP populations that meet the Safe Harbor Threshold. The Americans with Disabilities Act of 1990 (ADA), provides protection that no individual with a disability shall on the basis of disability, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any federally funded program, service, or activity. ABCAP Transportation is committed to providing non-discriminatory service to ensure that no person is excluded from participation in, or denied the benefits of, or subjected to discrimination in the receipt of its services on the basis of race, color, or national origin as protected by Title VI of the Civil Rights Act of 1964 (Title VI) as well as providing protection that no individual with a disability shall on the basis of disability, be excluded from participation in, be denied the benefits of, or be subjected to discrimination as stated in the Americans with Disabilities Act of 1990 (ADA). If you feel that you have been discriminated against, please provide the following necessary information to facilitate the processing of your complaint. If assistance is required to complete the form, or if you have questions, please do not hesitate to call the ADA/Title VI Coordinator at (937) 378-6041.
Once completed, return a signed and dated copy to either the ADA Coordinator or Title VI Coordinator:
ADA Coordinator Nancy Darby, Deputy Director 406 W. Plum St., Georgetown, OH 45121 Title VI Coordinator
Title VI Coordinator
406 W. Plum St., Georgetown, OH 45121
Note: The following information is necessary to assist us in processing your complaint. Should you require any assistance in completing this form, please call (937) 378-6041.
Once completed, return a signed and dated copy to either the ADA Coordinator or Title VI Coordinator:
ADA Coordinator Nancy Darby, Deputy Director 406 W. Plum St., Georgetown, OH 45121 Title VI Coordinator
Title VI Coordinator
406 W. Plum St., Georgetown, OH 45121
Note: The following information is necessary to assist us in processing your complaint. Should you require any assistance in completing this form, please call (937) 378-6041.