Civil Rights Complaint Procedure & Form

If a customer, parent, or staff member reports an incident where they believe someone has been denied services due to national origin, race, color, sex, age, or disability, the following steps are to be followed in documenting and filing a complaint.

If an employee is approached, they are to listen to the complaint, report the complaint to their manager, and complete the complaint form.  The manager is to report the incident and information to the CN Director.  Upon receiving the complaint, the CN Director is to notify the State Agency about the complaint.

This applies to anyone in the CN Department receiving a complaint, and also any complaint where the customer (person reporting the complaint) decides they do not want to be involved.  The complaint may be about what they witnessed happening to someone else and not to themselves.  This still needs to be documented, investigated, and reported to the proper entities.  (See Complaint Form)

If the complainant doesn’t want to write the complaint down, have the staff member write it down, sign & date.

 THIS PROCEDURE IS SUBJECT TO REVISIONS!

LISD Civil Rights Complaint Form

Procedure for Handling Discrimination Complaints

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.  

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the Agency (State or local) where they applied for benefits.  Individuals who are deaf, hard of hearing, or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339.  Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form (AD-3027) found online at: How to File a Complaint, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992.  Submit your completed form or letter to USDA by: 

 

1.mail: U.S. Department of Agriculture 
Office of the Assistant Secretary for Civil Rights 
1400 Independence Avenue, SW 
Washington, D.C. 20250-9410; 

2. fax: (202) 690-7442; or 

3. email: intake@usda.gov.