Official Government Website

Title VI Complaint Form

 Members of the public who believe they have received unequal treatment or discrimination or been excluded from participation in or denied benefits of the Idaho Department of Environmental Quality’s (DEQ) programs, activities or services on the grounds of race, color, or national origin may file a complaint using the form below within 180 days from the date of the alleged discrimination.

DEQ employees should submit complaints to DEQ’s Human Resource Office, the Equal Employment Opportunity Commission, or the Human Rights Commission.

Para ver esta información en español, envíe un correo electrónico accessibility@deq.idaho.gov.

For further assistance, contact DEQ’s nondiscrimination coordinator:

Idaho Department of Environmental Quality
ATTN: Nondiscrimination Coordinator
1410 N. Hilton Street Boise, ID 83706
accessibility@deq.idaho.gov

 

 

Title VI Complaint Form

1. Complainant's Contact Information
Address
2. Person discriminated against (if other than Complainant)
Address
3. What was the discrimination based on: (Check all that apply)
MM slash DD slash YYYY
8. Witness Contact Information
Address
9. Did you file this complaint with another federal, state, or local agency; or with a federal or state court?
If the answer above is yes, check each agency where a complaint was filed:
10. Please provide the contact information for the agency that also received the complaint.
Address
MM slash DD slash YYYY

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