MHCAN of Santa Cruz

Mental Health Client Action Network

​The *ONLY* Mental Health PEER RUN Organization

in Santa Cruz County, California 

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Title Six

FTA Civil Rights Complaint Form



[PDF icon]  Consolidated_Civil_Rights_Complaint_Form.pdf

To file a discrimination complaint against a public transit provider, please compete and sign the FTA complaint form. Your form must be mailed to:

Federal Transit Administration
Office of Civil Rights
Attention: Complaint Team
East Building, 5th Floor – TCR
1200 New Jersey Avenue, SE
Washington, DC 20590

With your form, please attach on separate sheet(s):

A summary of your allegations and any supporting documentation.
Sufficient details for an investigator to understand why you believe a public transit provider has violated your rights, with specifics such as dates and times of incidents.
Any related correspondence from the transit provider.DOT is committed to ensuring that information is available in appropriate alternative formats to meet the requirements of persons who have a disability. If you require an alternative version of files provided on this page, please contact

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