Title VI Complaint Form

Any person who believes that he or she has been discriminated against by the City of Chandler or any of its service providers in a federally funded program and believes the discrimination was based upon race, color, national origin, age or disability may file a formal complaint with the Title VI Coordinator.

Please provide the following information to process your complaint. Alternative formats and languages are available upon request. You can reach the city’s Diversity, Equity & Inclusion Officer Niki Tapia at 480-782-2214. For people who are deaf, deaf-blind, hard of hearing or having difficulty speaking, dial 7-1-1 to connect with Arizona Relay Service.

Section 1: Customer Information
Preferred method of contact
Section 2: Incident Information
What was discrimination based on (Check all that apply)
Have you previously filed a Title VI complaint with the City of Chandler?
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