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Fort Bend County Public Transportation Department

Title VI Complaint Form

Any person who feels he or she may have been discriminated against is encouraged to report

such a violation to the Fort Bend County Public Transportation Department within 180 days of

the alleged discrimination. You may file a complaint with the Fort Bend County Public

Transportation Department, Attention Civil Rights Officer, 301 Jackson St. Richmond, TX

77469; by telephone (281) 633- RIDE (7433); by fax (832) 471-1843; or by email at

transit@fortbendcountytx.gov. If information is needed in another language, please contact our

office at 281-633-RIDE (7433).

Chinese - 鼓勵任何認為自己受到歧視的人在被指控的歧視之日起180天內向本德縣公共交

通部門舉報此類違法行為。您可以向本德堡縣公共交通部門投訴，民權官員，德克薩斯州

傑克遜街301號，郵政編碼77469；通過電話（281）633-乘車（7433）；傳真（832）471-

1843；或通過電子郵件發送至transit@fortbendcountytx.gov。如果需要其他語言的信息，

請致電281-633-RIDE（7433）與我們的辦公室聯繫。

Arabic – 





  



 

Vietnamese - Bất kỳ người nào cảm thấy mình có thể bị phân biệt đối xử được khuyến khích báo

cáo hành vi vi phạm đó cho Sở Giao thông Công cộng Quận Fort Bend trong vòng 180 ngày kể

từ ngày bị cáo buộc phân biệt đối xử. Bạn có thể nộp đơn khiếu nại với Sở Giao thông Công

cộng Quận Fort Bend, Cán bộ Quyền công dân Chú ý, 301 Jackson St. Richmond, TX 77469;

qua điện thoại (281) 633- RIDE (7433); qua fax (832) 471-1843; hoặc qua email tại

transit@fortbendcountytx.gov . Nếu cần thông tin bằng ngôn ngữ khác, vui lòng liên hệ với văn

phòng của chúng tôi theo số 281-633-RIDE (7433).

Gujarati -               , 

  180          

       .     

 ,    , 301   , 

77469    .   (281) 633-  (7433);  (832) 

471-1843;  transit@fortbendcountytx.gov   .    

  ,    281-633- (7433)     .

Spanish - Se alienta a cualquier persona que sienta que puede haber sido discriminada a

informar dicha violación al Departamento de Transporte Público del Condado de Fort Bend

dentro de los 180 días posteriores a la supuesta discriminación. Puede presentar una queja ante el

Departamento de Transporte Público del Condado de Fort Bend, Atención al Oficial de Derechos

Civiles, 301 Jackson St. Richmond, TX 77469; por teléfono (281) 633- RIDE (7433); por fax

(832) 471-1843; o por correo electrónico a transit@fortbendcountytx.gov . Si necesita

información en otro idioma, comuníquese con nuestra oficina al 281-633-RIDE (7433).

Hindi -                  

180                

             ,  

 , 301   , TX 77469       ; 

 (281) 633- RIDE (7433);    (832) 471-1843;  transit@fortbendcountytx.gov 

           ,       281-

633-RIDE (7433)   

Malayalam -     

  180   

   

.     

,    , 301 





 , 



 77469;   (281) 633-  (7433);





 (832) 471-1843;  transit@fortbendcountytx.gov  .

   , 281-633-

(7433)     .

Taglog - Ang sinumang tao na sa palagay ay maaaring nadiskrimina siya ay hinihikayat

na iulat ang naturang paglabag sa Kagawaran ng Pampublikong Transportasyon ng

Fort Bend County sa loob ng 180 araw mula sa umano'y diskriminasyon. Maaari kang

maghain ng reklamo sa Kagawaran ng Pampublikong Transportasyon ng Fort Bend

County, Attention Civil Rights Officer, 301 Jackson St. Richmond, TX 77469; sa

pamamagitan ng telepono (281) 633- RIDE (7433); sa pamamagitan ng fax (832) 471-

1843; O sa pamamagitan ng email sa transit@fortbendcountytx.gov. Kung kailangan ng

impormasyon sa ibang wika, mangyaring makipag-ugnay sa aming tanggapan sa 281-

633-RIDE (7433).

Urdu - 











.

Fort Bend County Public Transportation Department

Title VI Complaint Form

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.” The Fort Bend County Public Transportation Department is committed to a policy of

non-discrimination in the conduct of its business, including the responsibility to deliver equitable and

accessible public transportation services.

Any person who feels he or she may have been discriminated against is encouraged to report such a

violation to the Fort Bend County Public Transportation Department within 180 days of the alleged

discrimination.

The following information is necessary to assist us in processing your complaint. Should you require

any assistance in completing this form, or if information is needed in another language, please let us

know by telephone (281) 633-7433 or by email at Transit@co.fort-bend.tx.us. Complete and return

this form to Fort Bend County Public Transportation Department, Attention Civil Rights Officer, 301

Jackson Street, Richmond Texas 77469.

1.Complainant’s Name ________________________________________________

2.Address___________________________________________________________

3.City, State and Zip Code______________________________________________

4.Telephone Number______________________(alternate)____________________

5.Email Address______________________________________________________

6.Person discriminated against (if someone other than the complainant)

Name_____________________________________________________________

Address___________________________________________________________

City, State and Zip Code______________________________________________

Please explain your relationship to this person ____________________________

7.Which of the following best describes the reason you believe the discrimination tookplace? Was it

because of your:

a.Race/Color/Ethnicity_____________

b.National Origin __________

c. Low Income______________

d. Limited English______________

8. What date did the alleged discrimination take place.____________________

9. In our own words, describe the alleged discrimination. Explain what happened and whom you

believe was responsible. Please use the back of this form if additional space is required.

If you need additional space, an additional sheet is attached for that purpose.

_________________________________________________________________________________

_______________________________________________________________

10. Have you filed this complaint with any other federal, state, or local agency; or with any federal or

state court? ______ Yes ______ No

If yes, check all that apply:

____ Federal agency ____ Federal court

____ State agency ____ State court

____ Local agency

11. Please provide information about a contact person at the agency/court where the complaint was

filed if applicable.

Name ____________________________________________________________

Address __________________________________________________________

City, State, and Zip Code _____________________________________________

Telephone Number _________________________________________________

Please sign below. You may attach any written materials or other information that you think is

relevant to your complaint.

_____________________________

Complainant’s Signature Date

Additional space if needed.

_________________________________________________________________________________

________________________________________________________________________________