Sugar Hill, GA · Gwinnett County
Title VI Complaint Form
People who believe they experienced discrimination in a city program can use this form to submit a Title VI complaint to Sugar Hill.
What this form is
The Title VI Complaint Form lets a person report alleged discrimination in a city program or activity receiving federal financial assistance. The complainant provides contact details, information about the person discriminated against, the reason and date of the alleged discrimination, and a description of what happened. The form also asks whether the complaint was filed elsewhere and allows relevant written materials to be attached.
Who needs it
A person who believes they or someone else experienced discrimination in a city program can complete and submit this complaint form.
How to submit it
Complete and return the form to the City Clerk’s Office at City Hall, 5039 W. Broad Street, Sugar Hill, GA 30518.
About notarization
This document is signed without a notary; the complainant just signs and dates the form, and no sworn or notarized attachment is specified.
How to submit this form
- 1
Download The Form
Download the Title VI Complaint Form.
- 2
Complete The Form
Enter your contact information and describe the alleged discrimination, including its date and whom you believe was responsible.
- 3
Gather Relevant Materials
Attach any written materials or other information you think is relevant to your complaint.
- 4
Sign And Submit
Sign and date the form, then return it to the City Clerk’s Office at City Hall, 5039 W. Broad Street, Sugar Hill, GA 30518.
Frequently asked questions
- What is the Sugar Hill Title VI Complaint Form for?
- It lets a person report alleged discrimination in a city program or activity receiving federal financial assistance and provide details for processing the complaint.
- Who can file this complaint form?
- A person who believes they experienced discrimination can complete the form. It also asks for information about the person discriminated against if that person is someone other than the complainant.
- Do I need a notary for the Title VI Complaint Form?
- No. The complainant signs and dates the form; it does not specify a sworn or notarized attachment.
- How do I submit the Title VI Complaint Form?
- Complete and return it to the City Clerk’s Office at City Hall, 5039 W. Broad Street, Sugar Hill, GA 30518. You may attach written materials or other information relevant to your complaint.
Need something notarized?
This Title VI Complaint Form doesn’t need a notary — but if you have another Sugar Hill form that does, a commissioned online notary can help.