Department of the Treasury – Internal Revenue Service
Statement of Assurance Concerning
13325
Form
Area
Civil Rights Compliance for Internal
(Rev. August 2007)
If Headquarters (P&PD), leave blank
Revenue Service SPEC Partnerships
SPEC/ECRU Partner Tracking Number #
We,
shall fulfill the obligations set
(Name of Organizational Authorized Official)
forth in this assurance in consideration of and for the purpose of obtaining
Federal property or other Federal financial assistance from the Internal Revenue
Service. The “Partner” will agree:
To conduct its activities and its sub-recipients’ activities so that no
1.
person is excluded from participation in, is denied the benefits of, or is
subject to discrimination, as prohibited by the statutes identified in
paragraph 2, in the distribution of services and/or benefits provided
under this financial assistance program.
To compile and submit information to the Internal Revenue
2.
Service (IRS) External Civil Rights Unit concerning its compliance
with Title VI of the Civil Rights Act of 1964 (Pub L. 88-352), as
amended, Section 504 of the Rehabilitation Act of 1973 (Pub L.
93-112), as amended, Title IX of the Education Amendments of 1972
(Pub L. 92-318), as amended, and the Age Discrimination Act of 1975
(Pub L. 94-135), as amended, in accordance with those laws and the
implementing regulations. All Civil Rights Assurances signed by
sub-recipients will be compiled and maintained by its “Partner” and
submitted to the IRS External Civil Rights Unit upon request.
Within 30 days of any finding issued by a Federal or State court or by
3.
a Federal or State administrative agency that the “Partner” has
discriminated on the basis of race, color, national origin, sex, age, or
disability in the delivery of its service or benefits, a copy of such
finding shall be forwarded to the IRS External Civil Rights Unit at the
following address:
NHQ: EEO:D
Attn: William H. Williams
Director, External Civil Rights Unit
1111 Constitution Avenue N.W. Room 2422
Washington, DC 20224
To inform the public that persons who believe they have been
4.
discriminated against on the basis of race, color, national origin, sex, age,
or disability, in the distribution of services and benefits resulting from this
financial assistance program may file a complaint with the Director,
External Civil Rights Unit, U.S. Department of Treasury. Civil rights
posters indicating the process for filing complaints of discrimination
13325 Page 1
Form
(Rev. 8-2007)
Catalog Number 34842Q