Obrazac LGL 001 Virginia

Naslov VI. Tužba o pritužbi

Odjel za motorna vozila (DMV) odbacuje diskriminaciju u svim svojim programima i aktivnostima. Naslov VI. Zakona o građanskim pravima iz 1964. i srodna tijela za nediskriminaciju zabranjuju diskriminaciju na temelju rase, boje, nacionalnog podrijetla, spola, invaliditeta, dobi, niskih prihoda ili ograničenog znanja engleskog jezika. Upotrijebite ovaj obrazac za bilježenje bilo kakvih navoda ili navoda o diskriminaciji. Podaci koje navedete omogućuju nam da obradimo vašu pritužbu.

This document is a Title VI complaint form issued by the Department of Motor Vehicles (DMV) of Virginia, allowing individuals to report alleged discrimination based on race, color, national origin, sex, disability, age, low income, or limited English proficiency. The form includes instructions for completion and submission, as well as contact information for the Title VI Program Coordinator. The individual completing the form is required to provide their full name, address, telephone number, and relationship to the person discriminated against, if applicable. They must also indicate which protected category they believe was violated and provide details of the alleged discrimination, including date and responsible party. The form asks whether the complaint has been filed elsewhere and requests information about any previous filing.