Civil Rights Complaint Form - Federal Transit Administration
The Civil Rights Complaint Form allows individuals to file allegations of discrimination by transit providers. This form must be completed and submitted to the FTA Office of Civil Rights. Ensure to include all relevant details and documentation.
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How do I fill this out?
To complete this form, ensure all sections are filled accurately. Provide a summary of your allegations and relevant details for effective review. Don’t forget to include your signature and date on the last page.

How to fill out the Civil Rights Complaint Form - Federal Transit Administration?
1
Download the Civil Rights Complaint Form.
2
Fill in your personal details and allegations.
3
Attach any supporting documentation as needed.
4
Sign and date the form.
5
Submit the completed form via email or mail.
Who needs the Civil Rights Complaint Form - Federal Transit Administration?
1
Individuals who believe they have faced discrimination in public transit services.
2
Advocacy groups assisting individuals with civil rights complaints.
3
Passengers who have experienced issues relating to disability accommodations.
4
Legal representatives filing on behalf of clients.
5
Transit agency employees needing to report compliance failures.
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What are the important dates for this form in 2024 and 2025?
For the years 2024 and 2025, maintain awareness of updates or changes to submission guidelines. Dates for civil rights awareness events may also be relevant.

What is the purpose of this form?
The purpose of this form is to allow individuals to report grievances against public transit providers regarding civil rights violations. It ensures that complaints are documented and investigated appropriately. This form serves as a tool for accountability and improvement in transit services.

Tell me about this form and its components and fields line-by-line.

- 1. Personal Information: Collects the complainant's details such as name, contact information, and address.
- 2. Allegations Summary: A section where complainants summarize their experiences and the nature of their complaints.
- 3. Supporting Documentation: Field for attaching any related proof, such as correspondence from transit providers.
- 4. Signature and Date: A mandatory field requiring the complainant's signature and date of submission.
- 5. Additional Comments: Provides extra space for further information if required.
What happens if I fail to submit this form?
Failing to submit this form may result in the inability to address your discrimination complaint. Without submission, no corrective actions or investigations can be initiated by the authorities.
- Loss of Rights: Delay in addressing discrimination may lead to further violation of rights.
- No Investigation: Your complaint cannot be investigated if not formally submitted.
- Insufficient Documentation: Important evidence may be lost if not reported promptly.
How do I know when to use this form?

- 1. Disability Discrimination: When services do not accommodate your disability as required by law.
- 2. Racial Discrimination: When you're subjected to unfair treatment based on race or color in transit.
- 3. Non-compliance of Transit Agencies: If a transit agency violates Title VI of the Civil Rights Act.
Frequently Asked Questions
How do I submit my complaint form?
You can submit your complaint form via email or postal mail to the FTA.
What should I include in my complaint?
Include a summary of your allegations, details of the incidents, and any supporting documents.
Can I edit the PDF form?
Yes, you can edit the PDF using our online tools before downloading.
Is there a deadline for submission?
It is recommended to submit your complaint as soon as possible after the incident.
Can I submit on behalf of someone else?
Yes, you can file a complaint on behalf of someone else if you have their consent.
What if I need more space?
There are additional blank pages at the end of the form for more information.
How will I know the status of my complaint?
You will receive a confirmation once your complaint has been processed.
Is there a contact number for assistance?
Yes, you can contact the civil rights hotline at (888) 446-4511 for help.
Can I request confidentiality?
You can request that certain information remains confidential in your complaint.
What happens after I submit my complaint?
The Office of Civil Rights will investigate your allegations as per established procedures.
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