Title VI Complaint Form - English

CITRUS COUNTY TRANSIT DISCRIMINATION COMPLAINT PROCEDURE

 Citrus County Transit operates its programs and services without regard to race, color, national origin, age, sex, religion, disability, familial or income status. Any person who believes he or she has been subjected to any unlawful discriminatory practice under Title VI may file a complaint with Citrus County Transit. Any person who believes that he or she, has been subjected to discrimination or retaliation, from the Citrus County Transit’s administration or federally funded programs, may file a written complaint.  Note: If the person filing a complaint believes they have been discriminated against by another branch of the Citrus County Government, they are directed to contact the Citrus County Office of Human Resources at 352-527-5270.  All written complaints received by the MPO are referred immediately to the FDOT’s District Seven Title VI Coordinator for processing in accordance with approved State procedures.  In order to request additional information on the Title VI program or requirements, please send them to Lon Frye, Director, Title VI Specialist, Citrus County Transit, 1300 S Lecanto Hwy, Lecanto, FL 34461 or by email at Lon.Frye@citrusbocc.com or by phone at 352-527-7630. This Title VI Notice is posted at Citrus County Transit Office, on the transit website and on all CCT transit vehicles, shelters, and facilities. 

Written complaints or questions may be sent to: 
Joanne Granger, Title VI Specialist
Citrus County Transit
1300 S Lecanto Hwy
Lecanto, FL 34461
Phone: 352-527-7630
Email: Joanne.Granger@citrusbocc.com
   
 If information is needed in another language or accessible in another required format, please contact us at the above phone number and assistance will be provided.  

TITLE VI PROGRAM AND RELATED STATUTES
DISCRIMATION COMPLAINT AGAINST CITRUS COUNTY 

 

Name:

Telephone (home):                  

Telephone                    (work):

 

 

 

 

 

 

Address:

City, State:

 Zip Code:

 

 

 

 

 

 

 Name of County Staff Person that You Believe Discriminated Against You: 

Address:

 

 

City, State:

 Zip Code:

 

 

 

 

Date of Alleged Incident:

 

 

 

You were discriminated because of:

 

 

 

Race

Retaliation

Sex

Familial   Status

Religion

Color

National Origin

Age

Disability

Other

 

(Language)

 

 

 

 Explain as briefly and clearly as possible what happened and how you were discriminated against. Indicate who was involved. Be sure to include how other persons were treated differently than you. Also attach any written material pertaining to your case. 

Signature:

Date: