Form CalRecycle38 "Language Access Complaint Form" - California

What Is Form CalRecycle38?

This is a legal form that was released by the California Department of Resources Recycling and Recovery - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2015;
  • The latest edition provided by the California Department of Resources Recycling and Recovery;
  • Easy to use and ready to print;
  • Available in Punjabi;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CalRecycle38 by clicking the link below or browse more documents and templates provided by the California Department of Resources Recycling and Recovery.

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Download Form CalRecycle38 "Language Access Complaint Form" - California

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State of California
Department of Resources Recycling and Recovery (CalRecycle)
CalRecycle 38
(Rev. 05/15)
Language Access Complaint Form
 If the Department of Resources Recycling and Recovery (CalRecycle) has been unable to
provide information or services to you because of language (limited-English proficiency) or
other communication difficulties, additional language or communication resources may be
available to assist you.
 Please complete the following information to help CalRecycle resolve your language related
issue.
Section I
Contact Information
First Name
Last Name
E-mail Address (if applicable)
Street Address
City
State
ZIP Code
Home Phone No.
Other Phone No.
Section II
Complaint Information
Date of Complaint/Incident
Your primary language
Department/Agency
Location or Address
Language Access Issue(s) – check all that apply
☐ Lack of signs informing the public of translation services
☐ Lack of forms/materials in multiple languages
☐ Lack of bilingual personnel
☐ Other: _______________________________________
What language do you need assistance with?
☐ Cantonese
☐ Spanish
☐ Mandarin
☐ Tagalog
☐ Russian
☐ Vietnamese
☐ Other: _____________________________
Description of Complaint/Incident:
CalRecycle will attempt to resolve your language access complaint within 10 working days. If you
have any questions, please contact the Bilingual Services Coordinator at eeo@calrecycle.ca.gov.
State of California
Department of Resources Recycling and Recovery (CalRecycle)
CalRecycle 38
(Rev. 05/15)
Language Access Complaint Form
 If the Department of Resources Recycling and Recovery (CalRecycle) has been unable to
provide information or services to you because of language (limited-English proficiency) or
other communication difficulties, additional language or communication resources may be
available to assist you.
 Please complete the following information to help CalRecycle resolve your language related
issue.
Section I
Contact Information
First Name
Last Name
E-mail Address (if applicable)
Street Address
City
State
ZIP Code
Home Phone No.
Other Phone No.
Section II
Complaint Information
Date of Complaint/Incident
Your primary language
Department/Agency
Location or Address
Language Access Issue(s) – check all that apply
☐ Lack of signs informing the public of translation services
☐ Lack of forms/materials in multiple languages
☐ Lack of bilingual personnel
☐ Other: _______________________________________
What language do you need assistance with?
☐ Cantonese
☐ Spanish
☐ Mandarin
☐ Tagalog
☐ Russian
☐ Vietnamese
☐ Other: _____________________________
Description of Complaint/Incident:
CalRecycle will attempt to resolve your language access complaint within 10 working days. If you
have any questions, please contact the Bilingual Services Coordinator at eeo@calrecycle.ca.gov.
State of California
Department of Resources Recycling and Recovery (CalRecycle)
CalRecycle 38
(Rev. 05/15)
If a department has not provided the requested translated materials or interpreter services, the
person should request to speak to a manager in charge. Departments are required to have a process
for receiving language-access complaints and should have information regarding their process posted
in their public offices. If the department is unable to assist, or provide the requested language access,
the person may contact CalHR for further assistance.
In addition to each department’s process, CalHR has established an informal language access
complaint process. CalHR's process provides the non-English speaking public with the opportunity to
bring their complaints to another entity, should they feel they were not provided with adequate
language services at one of California’s departments. CalHR has established a toll-free telephone
number to receive language access complaints: 1-866-889-3278. This telephone number will connect
the person to a voice recorder where they can leave a message explaining the details of the
complaint. Someone from the Bilingual Services Program will follow-up and resolution with the
department in question will begin.
These voice recordings contain instructions in the English, Armenian, Arabic, Cantonese, Farsi,
Japanese, Korean, Mandarin, Punjabi, Russian, Spanish, Tagalog, Vietnamese languages. If the
person does not speak one of these languages, they can contact CalHR's Bilingual Services Program
at (916) 324-0970. The Bilingual Services Program will attempt to identify the language the person
speaks and locate a qualified interpreter fluent in the native language.
For additional information regarding CalHR's language access complaint process, contact the
Bilingual Services Program at (916) 324-0970.
Upon completion of the form, please forward it to EEO@calrecycle.ca.gov.
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