Civil Rights Form | AZO Civil Rights Form

Title VI Complaint Form

Contact Information

First Name

Last Name

Date

Phone

Address

City

State

Zip

Country

Complaint Information

Please indicate the basis of your complaint

Race

Age

National Origin

Color

Gender

Disability

Input the date and place of alleged discriminatory action(s). Please include the earliest date of discrimination and the most recent date of discrimination.

The law prohibits intimidation or retaliation against anyone because he/she has either taken action, or participated in action, to secure rights protected by these laws. If you feel that you have been retaliated against, separate from the discrimination alleged above, please explain the circumstances below. Explain what actions you took which you believe was the cause for the alleged retaliations.

Names of individuals responsible for the discriminatory action(s).

Input the names of persons (witnesses, fellow employees, supervisors, or others) whom we may contact for additional information to support or clarify your complaint. (Include name, address, and phone number)

Captcha

If you are human, leave this field blank.

OUR AIRLINES

GROUND TRANSPORTATION

FLIGHTS

PACKAGES

HOTELS

CARS

Pilot Information

Public Notices

News & Media

Contact the Airport

FAQs

Kalamazoo

Battle Creek

Beach Communities

Contact Information

Complaint Information