Fletcher, NC · Henderson County
Discrimination Complaint Form
People who believe they experienced discrimination may use this form to submit a written complaint to the Town of Fletcher Title VI Coordinator.
What this form is
The form lets a person report alleged discrimination based on categories including race, color, sex, age, national origin, disability, income level, or limited English proficiency. The text says complaints must be filed within 180 days after the alleged discrimination occurred. It asks for contact details, information about the alleged action and witnesses, any related complaints, and the remedy sought; unsigned complaints will not be accepted.
Who needs it
A person who believes they experienced discrimination and wants to file a written complaint with the Town of Fletcher may use this form.
How to submit it
Mail the signed and dated complaint form to the Town of Fletcher Title VI Coordinator, 300 Old Cane Creek Road, Fletcher, NC 28732.
About notarization
This complaint form is signed and dated without a notary; the text requires no notarized attachment or related step.
How to submit this form
- 1
Download The Form
Download the Town of Fletcher Discrimination Complaint Form.
- 2
Complete The Form
Provide your contact details and describe the alleged discrimination, including dates, individuals involved, and the remedy you seek.
- 3
Gather Any Attachments
Attach additional pages if needed to explain the complaint, alleged retaliation, or supporting information.
- 4
Sign And Mail The Form
Sign and date the form, then mail it to the Title VI Coordinator at the address listed on the form.
Frequently asked questions
- Who can file a Town of Fletcher discrimination complaint?
- A person who believes they experienced discrimination based on a category listed on the form may submit a written complaint to the Town of Fletcher Title VI Coordinator.
- What information does the discrimination complaint form request?
- It asks for contact details, the basis and circumstances of the alleged discrimination, names of responsible individuals and witnesses, related complaint filings, and the remedy sought.
- Do I need a notary for the Discrimination Complaint Form?
- No. The form requires a signature and date, but it does not require notarization or identify a notarized attachment.
- How do I submit the discrimination complaint form?
- Sign and date the form, then mail it to the Town of Fletcher Title VI Coordinator at 300 Old Cane Creek Road, Fletcher, NC 28732.