Cedartown, GA · Polk County
Title VI Transit Complaint Form
This Spanish-language form lets people submit a complaint about alleged discrimination involving Cedartown Transit under Title VI.
What this form is
Use this form to report alleged discrimination involving Cedartown Transit. It asks for the complainant’s contact details, whether they are filing for themselves or someone else, the basis and date of the alleged discrimination, and a description of what happened. It also asks about complaints filed with other agencies or courts and requests information about the agency the complaint is against.
Who needs it
People who want to submit a Title VI discrimination complaint involving Cedartown Transit can complete this form in Spanish.
How to submit it
Submit the completed form in person or by mail to Cedartown Transit, Mitzi Allen, City Clerk (Title VI Coordinator), 201 East Avenue, Cedartown, Georgia 30125.
About notarization
This form is signed and dated without a notary; it does not identify any notarized attachment or related step.
How to submit this form
- 1
Download The Form
Download the Spanish Title VI Transit Complaint Form.
- 2
Complete The Form
Provide your contact details, describe the alleged discrimination, and answer the questions about prior complaints.
- 3
Gather Attachments
You may attach written materials or other information relevant to your complaint.
- 4
Sign And Submit
Sign and date the form, then submit it in person or by mail to Cedartown Transit at the address listed.
Frequently asked questions
- What is the Title VI Transit Complaint Form for?
- It is a Spanish-language form for reporting alleged discrimination involving Cedartown Transit, including discrimination based on race, color, or national origin.
- Who can file this complaint?
- A person may file on their own behalf or for someone else. The form asks a third-party filer to provide their relationship to the person and confirm permission.
- Do I need a notary for the Title VI Transit Complaint Form?
- No. The form requires a signature and date, but no notary; it does not identify any notarized attachment or related step.
- How do I submit the Title VI Transit Complaint Form?
- Submit it in person or by mail to Cedartown Transit, Mitzi Allen, City Clerk (Title VI Coordinator), 201 East Avenue, Cedartown, Georgia 30125.
Need something notarized?
This Title VI Transit Complaint Form doesn’t need a notary — but if you have another Cedartown form that does, a commissioned online notary can help.