Form 0112 Title VI - Complaint Form - Michigan

Form 0112 Title VI - Complaint Form - Michigan

What Is Form 0112?

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

FAQ

Q: What is Form 0112?
A: Form 0112 is the Title VI Complaint Form used in Michigan.

Q: What does Title VI refer to?
A: Title VI refers to a section of the Civil Rights Act of 1964, which prohibits discrimination based on race, color, or national origin in programs and activities receiving federal financial assistance.

Q: Who can use Form 0112?
A: Anyone who believes they have been subjected to discrimination based on race, color, or national origin in a program or activity that receives federal financial assistance in Michigan can use Form 0112.

Q: What information do I need to provide on Form 0112?
A: You will need to provide your contact information, a detailed description of the alleged discrimination, and any supporting documentation or evidence you have.

Q: What happens after I submit Form 0112?
A: After you submit Form 0112, the agency or organization that received your complaint will conduct an investigation and take appropriate actions to address the discrimination.

Q: Is my complaint confidential?
A: The information you provide on Form 0112 will be treated as confidential to the extent permitted by law. However, some information may be shared with the alleged discriminator as part of the investigation process.

Q: Can I file a complaint anonymously?
A: Yes, you can file a complaint anonymously. However, providing your contact information may be helpful for the investigation process.

Q: Is there a deadline for filing a complaint?
A: Yes, there is a deadline for filing a complaint. The exact deadline may vary depending on the agency or organization, so it is important to check the specific requirements.

Q: What can I expect as an outcome of my complaint?
A: The outcome of your complaint will vary depending on the specific circumstances and findings of the investigation. Possible outcomes include corrective action, policy changes, or the withdrawal of federal funding from the program or activity involved.

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Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the Michigan Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form 0112 by clicking the link below or browse more documents and templates provided by the Michigan Department of Transportation.

Download Form 0112 Title VI - Complaint Form - Michigan

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