Form 0112 Title VI - Complaint Form - Michigan

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Form 0112 Title VI - Complaint Form - Michigan

What Is Form 0112?

This is a legal form that was released by the Michigan Department of Transportation - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 0112 Title VI?
A: Form 0112 Title VI is a complaint form used in Michigan.

Q: Who can use Form 0112 Title VI?
A: Anyone who believes that they have been discriminated against based on race, color, or national origin by a Michigan Department of Transportation (MDOT) funded program or activity can use Form 0112 Title VI.

Q: What is the purpose of Form 0112 Title VI?
A: The purpose of Form 0112 Title VI is to provide a way for individuals to file a complaint of discrimination and request an investigation.

Q: How do I fill out Form 0112 Title VI?
A: You need to provide your contact information, a description of the alleged discrimination, and any supporting documentation or evidence related to your complaint.

Q: What happens after I submit Form 0112 Title VI?
A: Once you submit Form 0112 Title VI, the Michigan Department of Transportation (MDOT) will review your complaint and conduct an investigation if warranted.

Q: Is there a deadline to submit Form 0112 Title VI?
A: Yes, you must submit Form 0112 Title VI within 180 days of the alleged discrimination.

Q: What are the possible outcomes of filing a Form 0112 Title VI complaint?
A: The possible outcomes include a finding of no discrimination, a voluntary resolution between the parties, or further administrative or legal actions if the discrimination is substantiated.

Q: Can I get assistance in filling out Form 0112 Title VI?
A: Yes, you can request assistance from the Michigan Department of Transportation (MDOT) or any of their Title VI Specialists.

Q: Is filing a Form 0112 Title VI complaint confidential?
A: Yes, the information you provide in Form 0112 Title VI is kept confidential to the extent allowed by law.

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Form Details:

  • Released on January 1, 2017;
  • The latest edition provided by the Michigan Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 0112 by clicking the link below or browse more documents and templates provided by the Michigan Department of Transportation.

Download Form 0112 Title VI - Complaint Form - Michigan

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