If you wish to submit a Title VI complaint to METRO Regional Transit Authority, please fill out the form below. For a full copy of METRO’s Title VI procedures, or for questions about this process please call 330-762-0341 and ask to speak with the EEO Officer.
(Fields marked with * are REQUIRED!)

* Name (complainant):
* Home Address (Street/Apt. #, City, ST, Zip):
* Phone:
* Email address:
If applicable, name and title of person(s) who allegedly discriminated against you:
Location where the alleged incident took place:
* Date of alleged incident (or date range if activity took place on more than one date):
Is this activity still on-going?	Yes No
Discrimination was based on:	Race/Color Sex Vietnam Veteran National Origin Sexual Orientation	Disabled Veteran Creed/Religion Disablity Age Retaliation
* In your own words, describe the alleged discrimination. Be sure to include how you believe you were treated differently.
Please list any person(s) we may contact for additional information to support or clarify your complaint:
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
Please provide the name and phone number of the contact person at the agency/court where the complaint was filed:
Validation code
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