Title VI Complaint Form

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Title VI Policy

Title VI Complaint Form

Purpose

Use this form to file a complaint if you believe Monterey Regional Airport has not provided adequate access to airport services, programs, opportunities, or activities. If you believe your civil rights have been violated by airport operators and/or their lessees, tenants, concessionaires or contractors and have discriminated against your because of race, color, national origin, sex, creed, or handicap in public services and employment opportunities, please use the form below.

You must complete all required information and then press submit when completed.

COMPLAINANT NAME (required)

DOES YOUR COMPLAINT INVOLVE EMPLOYMENT DISCRIMINATION? (required)

YES

NO

DOES YOUR COMPLAINT INVOLVE INTIMIDATION OR RETALIATION, SEPARATE AND APART FROM CIVIL RIGHTS DISCRIMINATION? (required)

YES

NO

EMAIL ADDRESS (required)

ADDRESS (required)

CITY (required)

STATE (required)

ZIP CODE (required)

HOME PHONE (required)

BUSINESS PHONE

DATE ALLEGED VIOLATION OCCURRED (mm/dd/yyyy) (required)

LOCATION OF ALLEGED VIOLATION (required)

IDENTIFY WHO PERFORMED THE ALLEGED PROHIBITED ACT(S) please provide name, title, company or organization (required)

EXPLAIN THE EVENTS THAT TOOK PLACE AND WHY YOU BELIEVE YOU OR ANOTHER PERSON WAS SUBJECT TO A DISCRIMINATING, INTIMIDATING OR RETALIATING ACT(S) (required)

IDENTIFY THE BASIS ON WHICH YOU BELIEVE THE DISCRIMINATION, INTIMIDATION, OR RETALIATION OCCURRED. (required)

RACE

COLOR

NATIONAL ORIGIN

CREED

SEX

AGE

OTHER

LIST ANY PERSON(S) WINESSES, OR OTHERS WHOM WE MAY CONTACT FOR ADDITIONAL INFORMATION TO SUPPORT YOUR COMPLAINT.

DO YOU HAVE ANY OTHER INFORMATION THAT YOU THINK IS RELEVEANT TO THE INVESTIGATION OF YOUR COMPLAINT?

WHAT REMEDY ARE YOU SEEKING? (required)

Has this case been filed with the Department of Justice or other government agency or court? If answerred "Yes", please fill out all of the following form fields. (required)

Yes

No

AGENCY OR COURT

CONTACT PERSON

ADDRESS

CITY

STATE

ZIP CODE

PHONE (INCLUDE AREA CODE)

DATE FILED (mm/dd/yyyy)

OTHER COMMENTS

SIGNATURE

DATE

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A copy of this complaint will be forwarded to: Federal Aviation Administration, Office of Civil Rights, ACR-1, 800 Independence Avenue, S.W., Washington, D.C. 20591

200 Fred Kane Drive, Suite 200, Monterey CA 93940

Telephone (831) 648-7000

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Website Accessibility Statement

Monterey Peninsula Airport District (the "District") is committed to ensuring that its services are accessible to all members of the public. As part of this commitment, the District strives to provide an accessible website compatible with the Web Content Accessibility Guidelines (WCAG) version 2.1, AA, and commercial screen reading software. Features of the website are created to allow individuals with vision and other impairments to understand and use the website to the same degree as someone without disabilities.