Who can use the Spanish Title VI complaint form?

People reporting alleged discrimination involving Port Arthur Transit can use this form to provide incident details, contact information, and information about witnesses or prior complaints.

What information does the complaint form request?

It requests contact details, information about the person discriminated against and witnesses, the incident date and estimated time, the reason for the complaint, and related agency or claim information.

Do I need a notary for the Title VI complaint form?

No. This document is signed and dated without a notary, and it does not identify an attachment or related step that must be notarized or sworn.

How do I submit the Title VI complaint form?

Return the completed form to Port Arthur Transit at 344 Procter Street, Port Arthur, Texas 77640. The form lists (409) 983-8728 for help completing it.

Port Arthur, TX · Jefferson County

No notary required

Title VI Transit Complaint Form (Spanish)

This Spanish-language form lets people submit a discrimination complaint to Port Arthur Transit and provide information about the incident.

What this form is

Port Arthur Transit provides this Spanish-language form for reporting alleged discrimination based on race, color, or national origin, as well as other listed concerns. The document says Title VI complaints must be filed within 180 days of the alleged discrimination. It asks for contact details, information about the people involved and witnesses, incident details, prior complaints or claims, and the name of the organization or agency involved.

Who needs it

A person reporting alleged discrimination involving Port Arthur Transit can use this form to provide details about the incident and their complaint.

How to submit it

Return the completed form to Port Arthur Transit, 344 Procter Street, Port Arthur, Texas 77640. The form lists (409) 983-8728 for help completing it.

About notarization

This form is signed and dated without a notary; the document does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

1
Download The Form
Download the Spanish-language Port Arthur Transit Title VI complaint form.
2
Complete The Form
Provide your contact details and information about the alleged discrimination, including dates, estimated time, and witnesses when available.
3
Gather Any Requested Copy
If you have filed a lawsuit about the complaint, the form asks you to provide a copy of the claim form.
4
Return It To Port Arthur Transit
Return the completed form to 344 Procter Street, Port Arthur, Texas 77640.

Frequently asked questions

Who can use the Spanish Title VI complaint form?: People reporting alleged discrimination involving Port Arthur Transit can use this form to provide incident details, contact information, and information about witnesses or prior complaints.
What information does the complaint form request?: It requests contact details, information about the person discriminated against and witnesses, the incident date and estimated time, the reason for the complaint, and related agency or claim information.
Do I need a notary for the Title VI complaint form?: No. This document is signed and dated without a notary, and it does not identify an attachment or related step that must be notarized or sworn.
How do I submit the Title VI complaint form?: Return the completed form to Port Arthur Transit at 344 Procter Street, Port Arthur, Texas 77640. The form lists (409) 983-8728 for help completing it.

Need something notarized?

This Title VI Transit Complaint Form (Spanish) doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.