Civil Rights Policy and Complaint Form

Updated on Wed, 10/10/2018 - 8:28am
If you believe that discrimination was a factor in an incident or action, you have the right to file a complaint. 
 
Civil rights complaints can be directed to the Adams 12 Five Star Schools Nutrition Services Resource Manager. Please view the Civil Rights Complaint Procedure (English - Spanish). 
  • Complaints will be reviewed and forwarded to the appropriate BASE and Nutrition Supervisor.
  • Complaints can be made verbally (in person or over the phone) or in writing by submitting the Nutrition Services Civil Rights Complaint Form (English - Spanish).
  • Complaints may be filed anonymously.
  • Completion of the Civil Rights Complaint Form is not a prerequisite for filing a complaint.

For questions or to file a complaint please contact Lisa Hart at (720) 972-6140.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, religious creed, disability, age, political beliefs, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

  • Mail: U.S. Department of Agriculture
    Office of the Assistant Secretary for Civil Rights
    1400 Independence Avenue, SW
    Washington, D.C. 20250-9410
  • Fax: (202) 690-7442
  • Email: program.intake@usda.gov.

This institution is an equal opportunity provider.

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