COMMITMENT TO FAIRNESS

YOUR RIGHTS UNDER TITLE VI AND RELATED LAWS

Metro Bus is committed to ensuring that no person is excluded from participation in or denied the benefits of its services on the basis of race, color or national origin, as provided by the Title VI of the Civil Rights Act of 1964, as amended. Title VI complaints must be filed within 180 days from the date of the alleged discrimination.

The following information is necessary to assist us in processing your complaint. If you require any assistance in completing this form, please contact the Metro Bus Title VI Manager by calling 320.529.4484. Upon request this document will be provided in alternative formats and/or translated versions of all documents and forms and/or read documents and forms to requestors in English, Spanish or Somali.

To file a Title VI complaint with Metro Bus, fill out and submit the form below or download a complaint form by clicking the below button. Send printed and completed forms to the Metro Bus Title VI Manager by email at [email protected] or mail to 665 Franklin Ave. NE, St. Cloud, MN 56304.

TITLE VI COMPLAINT FORM
St. Cloud Metropolitan Transit Commission (Metro Bus)

Title VI Complaint Form (English)

CONTACT INFORMATION

Name:
Name:
First
Last
Please add name(s) and addresses of the person(s) discriminated against.

COMPLAINT

Which of the following best describes the reason for the alleged discrimination took place:
Have you filed a complaint with any other federal, state or local agencies? If yes, please complete the information below:
If yes, please complete the information below:
Contact Name:
Contact Name:
First
Last
Contact Name:
Contact Name:
First
Last
Provide the names and title of all Metro Bus employees involved if available. Explain what happened and whom you believe was responsible.

CONFIRMATION

Complainant's Digital Signature

DOWNLOAD & PRINT TITLE VI COMPLAINT FORMS

The PDFs linked below can be printed, filled out and mailed in or dropped off at any Metro Bus facility.