Title VI Complaint Form

TITLE VI Complaint Form

Title VI of the Civil Rights Act of 1964 states "No person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance."

Title 42 U.S.C. Section 2000d

Please provide the following information necessary in order to process your complaint. A formal complaint must be filed within 180 days of the occurrence of the alleged discriminatory act. Assistance is available upon request. Please contact NCTPA at (707) 259-8631.


Complainant's Information
Person(s) discriminiated against (if other than complainant)
Upload files that are pertinent to this complaint.
Please type your name. The complaint will not be accepted if this form is not signed.