CERTIFICATION FORM

Equal Opportunity Is the Law

It is against Federal and/or State law for this recipient of State financial assistance to discriminate on the following basis:

The recipient must not discriminate in any of the following areas: 

 

What to Do If You Believe You Have Experienced Discrimination

If you think that you have been subjected to discrimination under a state financially assisted program or activity, you may file a complaint within 180 days from the date of the alleged violation with: