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68-18 Approving Update to ADA Transition Plan of 2013 and Title VI Plan: Non Discrimination in City Services, Programs & Activities under the Civil Rights Act of 1964
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68-18 Approving Update to ADA Transition Plan of 2013 and Title VI Plan: Non Discrimination in City Services, Programs & Activities under the Civil Rights Act of 1964
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12/5/2018 8:59:04 AM
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12/5/2018 8:56:37 AM
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City Council - City Clerk
City Council - Document Type
Ordinances
City Counci - Date
12/10/2018
Bill Number
68-18
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ADA/TITLE VI GRIEVANCE FORM <br /> CITY OF SOUTH BEND,INDIANA <br /> Today's Date: <br /> Complainant Identification (name): <br /> Address: <br /> City, State, Zip: <br /> Telephone: <br /> E-mail: <br /> Individual Discriminated Against: <br /> (If Different from Complainant) <br /> Address: <br /> City, State, Zip: <br /> Telephone and E-mail: <br /> Alleged Violation: Date(s)&Approximate Time <br /> of Occurrence: <br /> Detailed Description of Violation and City Department Involved: <br /> Requested Action by City to Correct Violation: <br /> Has Complaint been filed with State or Federal Agency: Yes No <br /> Name of Agency: Date Filed <br /> Contact Person: <br /> Signature; <br /> Attachment 10 <br />
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