Title VI Complaint Form | South Central Transit Network

South Central Adult Services Title VI and Non-Discrimination Policy Statement South Central Adult Services, hereinafter referred to as the “Transit Agency” is committed

to compliance with Title VI of the Civil Rights Act of 1964 and all related regulations and statutes. The Transit Agency assures that no person or group(s) of persons shall,

on the grounds of race, color or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any and

all programs, services, or activities administered by the Transit Agency, regardless of whether those programs and activities are federally funded or not.

The Transit Agency also assures that every effort will be made to prevent discrimination through the impacts of its programs, policies, and activities on minority and

low-income populations. In addition, the Transit Agency will provide meaningful access to services for persons with Limited English Proficiency.

In the event the Transit Agency distributes federal-aid funds to a sub-recipient, the Transit Agency will include Title VI language in all written

agreements and will monitor for compliance. The Transit Agency’s Title VI Coordinator (Patricia Hansen, Director, South Central Adult Services,

PO Box 298, Valley City, ND 58072, pat@southcentralseniors.org, 701-845-4300) is responsible for initiating and monitoring Title VI activities,

preparing reports and other responsibilities as required by 23 Code of Federal Regulations (CFR) 200 and 49 CFR 21.

South Central Adult Services is an Equal Opportunity Employer.

South Central Adult Services Council, Inc. holds quarterly board meetings on the 3rd Monday of February, May, August & November.

All meetings are open to the public at 139 2nd Ave SE in Valley City, ND. Call in advance to reserve a meal at 1-800-472-0031.

South Central Transit Network

Transit Title VI Complaint Form

PART I - COMPLAINANT INFORMATION

PART II - BASIS OF DISCRIMINATION

PART III - PARTICULARS OF DISCRIMINATION

PART IV - REMEDY REQUESTED

PART V - VERIFICATION