Cedartown, GA · Polk County
Transit Title VI Complaint Form
Cedartown Transit’s complaint form is for people who want to report discrimination and provide details about the incident to the city.
What this form is
Use this form to file a complaint about discrimination experienced in connection with Cedartown Transit. It asks for your contact information, the basis and date of the alleged discrimination, and an account of what happened. It also asks whether you are filing for yourself or someone else, whether you have filed related complaints elsewhere, and information about the agency or person involved.
Who needs it
Anyone filing a discrimination complaint with Cedartown Transit can use this form, including someone filing on behalf of another person.
How to submit it
Submit the 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; no notarized or sworn attachment is identified.
How to submit this form
- 1
Download The Form
Download the Transit Title VI Complaint Form PDF.
- 2
Complete The Form
Provide your contact information and describe the alleged discrimination and the people involved.
- 3
Gather Relevant Materials
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
- Do I need a notary for the Transit Title VI Complaint Form?
- No. The form asks for a signature and date, but does not require a notary. It does not identify any notarized or sworn attachment.
- How do I submit the Transit Title VI 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.
- What information does the complaint form ask for?
- It asks for your contact information, details about the alleged discrimination, information about the person or agency involved, and whether you have filed related complaints elsewhere.
Need something notarized?
This Transit Title VI Complaint Form doesn’t need a notary — but if you have another Cedartown form that does, a commissioned online notary can help.