File A Complaint

Discrimination Complaint

"Please complete this form if you feel that you have experienced discrimination by the Arrowhead Transit on the basis of race, color, national origin, sex, age, income status, or disability, in violation of the Title VI Act of 1964 and related statutes. The complaint must be filed no later than 180 calendar days of the alleged discriminatory incident.

If "other", please explain

Please describe in as much detail as possible the situation surrounding your discrimination complaint

Please complete this form if you have a question, concern or comment regarding the service provided by Arrowhead Transit.

Date (required)

First Name (required)

Last Name (required)

Address Line 1 (required)

Address Line 2 (required)

City

State

Zip

Phone Number (required)

Preferred Email (required)

Preferred Contact Method (required)

Best Time to Contact You (required)

Please describe in as much detail as possible the situation surrounding your complaint (required)

What county did the incident occur in?

Discrimination Complaint

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