What information does the form ask for?

It asks for contact details, incident and service information, the basis of the alleged discrimination, and whether a complaint was previously filed with the FTA or the agency.

Do I need a notary for the Title VI complaint form?

No. The form requires a signature and date, not notarization. Written materials or other relevant information may be attached, but no sworn attachment is required.

How do I submit the Title VI complaint form?

Submit it to the city department named on the form; check the city website for current contact details. The form also lists customer service phone and email contact information.

Huachuca City, AZ · Cochise County

No notary required

Forma De Reclamación Bajo El Título VI

This Spanish-language form lets people who believe they experienced discrimination by Huachuca City or its service providers provide information for a formal complaint.

What this form is

People who believe Huachuca City or one of its service providers discriminated against them based on race, color, or national origin can use this form to file a formal complaint. It asks for the complainant’s contact details, information about the incident and service, the reason for the alleged discrimination, and whether a complaint was previously filed with the FTA or the agency. Written materials or other relevant information may be attached.

Who needs it

A person who believes Huachuca City or one of its service providers discriminated against them based on race, color, or national origin can complete this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; it permits the signer to attach written materials or other relevant information, but does not require a sworn attachment.

How to submit this form

1
Download The Form
Download the Spanish Title VI complaint form.
2
Complete The Form
Provide your contact information, incident details, and information about the alleged discrimination.
3
Gather Attachments
If relevant, attach written materials or other information related to your complaint.
4
Submit To The City
Submit the completed form to the city department named on it; check the city website for current contact details.

Frequently asked questions

Who can file this Title VI complaint form?: A person who believes Huachuca City or one of its service providers discriminated against them based on race, color, or national origin can file a formal complaint.
What information does the form ask for?: It asks for contact details, incident and service information, the basis of the alleged discrimination, and whether a complaint was previously filed with the FTA or the agency.
Do I need a notary for the Title VI complaint form?: No. The form requires a signature and date, not notarization. Written materials or other relevant information may be attached, but no sworn attachment is required.
How do I submit the Title VI complaint form?: Submit it to the city department named on the form; check the city website for current contact details. The form also lists customer service phone and email contact information.

Need something notarized?

This Forma De Reclamación Bajo El Título VI doesn’t need a notary — but if you have another Huachuca City form that does, a commissioned online notary can help.