What does the Title VI Complaint Form ask for?

It requests complainant contact information, the reason and date for the alleged discrimination, a description of what happened, and details about any related agency or court complaint.

Who can use the Title VI Complaint Form?

A person who wants to report alleged discrimination to the City of Eatonton can complete the form. It asks whether the complaint concerns race, color, national origin, or another reason.

How do I submit the Title VI Complaint Form?

Complete and return it to the City of Eatonton, ATTN: EEO Officer, at P.O. Box 3820, Eatonton, GA 31024, or 201 N. Jefferson Avenue, Eatonton, GA 31024.

Do I need a notary for the Title VI Complaint Form?

No. The form provides a space for the complainant to sign and date it; relevant written materials may be attached, and no notarized attachment is identified.

Eatonton, GA · Putnam County

No notary required

Title VI Complaint Form

Complainants use this form to report alleged discrimination based on race, color, national origin, or another reason to the City of Eatonton.

What this form is

This form helps the City of Eatonton process a complaint about alleged discrimination connected to a program or activity receiving federal financial assistance. It asks for the complainant’s contact details, the reason and date of the alleged discrimination, a description of what happened, and information about any other agency or court where the complaint was filed.

Who needs it

A person who wants to report alleged discrimination to the City of Eatonton can complete and return this complaint form.

How to submit it

Complete and return the form to the City of Eatonton, ATTN: EEO Officer, P.O. Box 3820, Eatonton, GA 31024, or 201 N. Jefferson Avenue, Eatonton, GA 31024.

About notarization

This document is signed and dated without a notary; it permits relevant written materials to be attached but does not identify any notarized attachment.

How to submit this form

1
Download the Form
Download the City of Eatonton Title VI Complaint Form.
2
Complete the Complaint Details
Provide your contact information, the reason and date for the alleged discrimination, and a description of what happened.
3
Gather Relevant Materials
You may attach written materials or other information relevant to your complaint.
4
Sign, Date, and Return
Sign and date the form, then return it to the EEO Officer at either address listed on the form.

Frequently asked questions

What does the Title VI Complaint Form ask for?: It requests complainant contact information, the reason and date for the alleged discrimination, a description of what happened, and details about any related agency or court complaint.
Who can use the Title VI Complaint Form?: A person who wants to report alleged discrimination to the City of Eatonton can complete the form. It asks whether the complaint concerns race, color, national origin, or another reason.
How do I submit the Title VI Complaint Form?: Complete and return it to the City of Eatonton, ATTN: EEO Officer, at P.O. Box 3820, Eatonton, GA 31024, or 201 N. Jefferson Avenue, Eatonton, GA 31024.
Do I need a notary for the Title VI Complaint Form?: No. The form provides a space for the complainant to sign and date it; relevant written materials may be attached, and no notarized attachment is identified.

Need something notarized?

This Title VI Complaint Form doesn’t need a notary — but if you have another Eatonton form that does, a commissioned online notary can help.