Civil Rights Complaint Form Page 3
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4If not, please supply the name and relationship of the person for whom you are
complaining:
Please explain why you have filed for a third party:
Please confirm that you have obtained the permission of the aggrieved party if you are
filing on behalf of a third party:
Yes
No
Section IV
Have you previously filed a civil rights complaint with
Yes
No
FTA?
If yes, what was your FTA Complaint Number?
Have you filed this complaint with any of the following agencies?
Transit Provider
Department of Transportation
Department of Justice
Equal Employment Opportunity Commission
Other
If yes, please attach a copy of any response you received to your previous complaint.
Have you filed a lawsuit regarding this complaint?
Yes
No
If yes, please provide the case number and attach any related material.
Note: FTA encourages, but does not require, riders to first file complaints with their local
transit agencies to give them an opportunity to resolve the issue.
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Parent category: Legal