Civil Rights Act Title VI

LTD Respects Civil Rights

LTD operates its programs without regard to race, color, religion, sex, sexual orientation, national origin, marital status, age or disability in accordance with Title VI of the Civil Rights Act, ORS Chapter 659A or other applicable law.
For more information

LTD Title VI Policy Statement

Title VI of the Civil Rights Act of 1964 states:

“No person in the United States shall, on the grounds of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance.”

LTD Limited English Proficiency (LEP) Plan

• File Online
• Other Ways To File

Making a Title VI Complaint Online

Any person who believes he or she has been aggrieved by an unlawful discriminatory practice under Title VI may file a complaint with LTD. Any such complaint must be in writing and filed with LTD within 180 days following the date of the alleged discriminatory occurrence. For information on how to file a complaint, contact LTD by any of the methods provided below.

Title VI

Title VI complaint submission.

Section Break

Complainant Information

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Personal Phone(Required)

Business Phone

Is the complainant the person who was discriminated against?(Required)

Yes

No

Person Discriminated Against

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP Code

Discriminatory Incident Information

Which of the following best describes the reason you believe the discrimintation took place?(Required)

Race/Color

National Origin

Age

Gender

Income

What date did the alleged discrimination take place?(Required)

MM slash DD slash YYYY

In your own words, describe the alleged discrimination. Explain what happened and who you believe was responsible.(Required)

Have you filed this compliant with any other federal, state, or local agency, or with any federal or state court?(Required)

Yes

No

Where has the complaint been filed?

Check all the apply:

Federal Agency

State Agency

Local Agency

Federal Court

State Court

Agency Contact Person Name

First Last

Agency Contact Person Address

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Agency Contact Person Phone

Complainant Signature(Required)

Please sign below.

Complainant Signature Date(Required)

Date of signature

MM slash DD slash YYYY

Other Ways To File A Title VI Complaint

Title VI Complaint Form

• Mail
  LTD
  ATTN: Title VI
  P.O. Box 7070
  Springfield, OR 97475
• Phone
  541-687-5555
• FAX
  541-682-6111
• Email
  LTD@LTD.org

You can also file a Title VI Complaint with the FTA