Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Title VI Complaint Form

  1. Title VI Complaint Form for Sumter County Transit Division

  2. Section 1

  3. Accessible Format Requirements?

  4. Section 2

  5. If you answered "Yes" to this question, go to Section 3.

  6. Section 3

  7. I believe the discrimination I experienced was based on (check all that apply):

  8. Section 4

  9. Section 5

  10. If yes, check all that apply:

  11. Section 6

  12. By checking the box below and submitting this form, I affirm that I have read the above charge and that it is true to the best of my knowledge, information and belief.*

  13. If information is needed in another language, please contact (352) 689‐4400.

  14. Leave This Blank:

  15. This field is not part of the form submission.