The City of Tallahassee

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* Home Address:

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Complaint Information

* Date of alleged discriminatory incident:

* City department where alleged incident occurred:

* Name(s) of City employee(s) involved, if known:

* Please explain as clearly as possible what happened and how you experienced discrimination or were denied access or accommodation. Indicate who was involved and include the names and contact information of any witnesses. If the incident took place on a StarMetro bus, please provide identifying information (bus number, route, direction you were traveling, etc.) if you are able to do so:

* Have you filed this complaint with any other federal, state, or local agency or with any federal or state court?

Yes

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ADA / Title VI / Non-Discrimination Complaint Form

Complaintant Information

Complaint Information