Public Notice of Rights under Title VI of the Civil Rights Act of 1964

Adams County Council on Aging, Inc.

Adams County Council on Aging, Inc. operates its programs and services without regard to race, color, and national origin in accordance with Title VI of the Civil Rights Act of 1964.

Title VI of the 1964 Civil Rights Act requires that “No person in the United States shall, on the grounds of race, color or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance.”

Any person who believes that he/she has been aggrieved by an unlawful discriminatory practice on the basis of race, color or national origin by Adams County Council on Aging, Inc. may file a complaint by completing and submitting the Adams County Council on Aging, Inc.’s Title VI Complaint form.

Title VI Complaint Procedures

You may download the Adams County Council on Aging, Inc.’s Title VI Complaint Form (click here to view form), or request a copy by writing to Adams County Council on Aging, Inc. at 1109 Dayton Street, Room 1, Decatur, IN  46733 or calling 1-260-724-5316.

You may file a signed, dated and written complaint no more than 180 days from the date of the alleged incident. The complaint should include:

  • Your name, address and telephone number.
  • How, why, and when you believe you were discriminated against. Include as much specific, detailed information as possible about the alleged acts of discrimination, and any other relevant information.
  • The names of any persons, if known, whom the director could contact for clarity of your allegations.

Please submit this form in person at the address below, or mail this form to:

Adams County Council on Aging, Inc.
Attn: Director
1109 Dayton Street Room 1
Decatur, IN 46733

A complainant may file a complaint directly with the Federal Transit Administration by filing a complaint at this address:

Federal Transit Administration
Office of Civil Rights
Attention: Title VI Program Coordinator
East Building, 5th Floor –TCR
1200 New Jersey Avenue, SE
Washington, DC 20590

Forms/Documents

Title VI Complaint form – English

Title VI Complaint form – German

Complaints on the Basis of the Rights – German

Notice to the Public – German