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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.