Sandy Springs, GA · Fulton County
Title VI Complaint Form
This form lets a person report alleged discrimination related to a City of Sandy Springs program or activity receiving federal financial assistance.
What this form is
Use this form to report alleged discrimination and provide information for processing the complaint. It asks for the complainant’s contact details, information about the person affected, the reason and date of the alleged discrimination, and a description of what happened. It also asks whether the complaint was filed with another agency or court. The form says to complete and return it to the Title VI Coordinator.
Who needs it
A person who wants to report alleged discrimination involving a City of Sandy Springs program or activity receiving federal financial assistance can complete this form.
How to submit it
Complete and return the form to Ms. Caroline Galvin, City of Sandy Springs Title VI Coordinator, 1 Galambos Way, Sandy Springs, Georgia 30328.
About notarization
This document is signed without a notary; the complainant just signs and dates the form, and no notarized or sworn attachment is mentioned.
How to submit this form
- 1
Download The Form
Download the Title VI Complaint Form.
- 2
Complete The Form
Provide the requested contact details and information about the alleged discrimination.
- 3
Gather Relevant Materials
You may attach written materials or other information relevant to your complaint.
- 4
Return The Form
Return the completed form to the Title VI Coordinator at the address listed on the form.
Frequently asked questions
- What is the Title VI Complaint Form for?
- It provides a way to report alleged discrimination involving a program or activity receiving federal financial assistance and gives the city information to process the complaint.
- What information does the form ask for?
- It asks for contact information, details about the person affected, the alleged discrimination’s reason and date, a description of what happened, and whether the complaint was filed elsewhere.
- Do I need a notary for the Title VI Complaint Form?
- No. The complainant signs and dates the form. It does not mention a notarized or sworn attachment.
- How do I submit the Title VI Complaint Form?
- Complete and return it to Ms. Caroline Galvin, City of Sandy Springs Title VI Coordinator, at 1 Galambos Way, Sandy Springs, Georgia 30328.
Need something notarized?
This Title VI Complaint Form doesn’t need a notary — but if you have another Sandy Springs form that does, a commissioned online notary can help.