Title VI Complaint Form

Title VI Language, Assistance, & Form Instructions

Title VI of the 1964 Civil Rights Act requires that “No person in the United States shall, on the ground of race, color or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance.” Note: The following information is necessary to assist us in processing your complaint. Should you require any assistance in completing the form, please let us know.

We offer an online version of the complaint form. Or,  you may complete and return this printable complaint form (PDF) to:

Title VI Coordinator
Green Bay Metro
901 University Avenue
Green Bay, WI 54302