Texarkana, TX · Bowie County
Title VI Complaint Form
This form lets a person report alleged discrimination involving Texarkana Metropolitan Planning Organization services and request a remedy.
What this form is
Use this form to report alleged discrimination based on race, color, or national origin involving Texarkana Metropolitan Planning Organization services. The form states that complaints must be filed within 180 calendar days of the alleged discrimination. It asks for contact details, the grounds and details of the complaint, any witnesses, a requested remedy, and information about related complaints filed with other agencies.
Who needs it
A person who believes they experienced discrimination involving Texarkana Metropolitan Planning Organization services can complete and submit this complaint form.
How to submit it
Submit the completed form to the Texarkana Metropolitan Planning Organization, P.O. Box 1967, 220 Texas Blvd., 2nd Floor, Texarkana, TX 75504. For filing assistance, call 903-798-3927.
About notarization
This document is signed and dated without a notary; the form asks the complainant to confirm the information is true to the best of their knowledge.
How to submit this form
- 1
Download The Form
Download the Title VI Complaint Form.
- 2
Complete The Form
Enter your contact details, describe the alleged discrimination, identify any witnesses, and state the remedy you are requesting.
- 3
Gather Supporting Materials
Attach additional pages as necessary and any written material pertaining to your case.
- 4
Sign And Submit
Sign and date the form, then submit it to the Texarkana Metropolitan Planning Organization at the address listed.
Frequently asked questions
- What is the Title VI Complaint Form for?
- It lets a person report alleged discrimination involving Texarkana Metropolitan Planning Organization services and describe the incident and requested remedy.
- Who can file this complaint?
- A person who believes they experienced discrimination involving the organization’s services can complete the form. It asks about the alleged incident and related details.
- Do I need a notary for the Title VI Complaint Form?
- No. The complainant signs and dates the form and confirms the information is true to the best of their knowledge; no notary is indicated.
- How do I submit the Title VI Complaint Form?
- Submit the completed form to the Texarkana Metropolitan Planning Organization at P.O. Box 1967, 220 Texas Blvd., 2nd Floor, Texarkana, TX 75504. Call 903-798-3927 for filing assistance.