Discrimination Complaint Procedure

USDA Program Discrimination Complaint Procedure

If a person feels discriminated against by the Monroe County Child Nutrition Program, they have the option of filling out a USDA Program Discrimination Complaint Form (AD-3027).  You or your authorized representative must sign the complaint form, OR write a letter addressed to USDA and provide in the letter all of the information requested in the AD-3027 form concerning your complaint to the USDA within 180 days of the occurrence of the incident

You may obtain a complaint form by any of the following methods:

  1. Contacting Mr. Marty Hanks, Federal Programs Coordinator at 109 Pickens Avenue, Monroeville, Al 36460, office phone number: (251)743-6026, or email your request for the (AD-3027) form to MHanks@monroe.k12.al.us
  2. Contact the Office of the Assistant Secretary for Civil Rights, at (202) 720-2600 or (800) 877-8339 (toll free) or send an email to the Office of the Assistant Secretary for Civil Rights atCR-INFO@ascr.usda.gov.
  3. Individuals who are deaf, hard of hearing, or have speech disabilities, may contact us through the Federal Relay Service on (800) 877-8339 or (800) 845-6136 (Spanish).
  4. Print out the form by going to:   https://www.ascr.usda.gov/sites/default/files/USDA-OASCR-P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail(002).pdf

 

You are not required to use the complaint form. You may also file a program discrimination complaint by writing a letter to the Office of the Assistant Secretary for Civil Rights and provide in the letter all of the information requested in the form concerning your complaint to the USDA.

 

For additional information about what to include in your letter, see How to File a Program Discrimination Complaint, at  https://www.ascr.usda.gov/filing-program-discrimination-complaint-usda-customer OR by contacting Mr. Marty Hanks, Federal Programs Coordinator at 109 Pickens Avenue, Monroeville, Al 36460, office phone number: (251)743-6026.

 

When you complete your complaint form or letter, you may submit it by mail, fax, or email to the address below:

 

    U.S. Department of Agriculture
    Office of the Assistant Secretary for Civil Rights
    1400 Independence Avenue, SW

    Washington, DC 20250-9410

FAX to: (833) 256-1665 or (202) 690-7442
E-mail: program.intake@usda.gov

 

USDA Nondiscrimination Statement: 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, disability, age, 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:

 

(1)           mail:        U.S. Department of Agriculture

Office of the Assistant Secretary for Civil Rights

1400 Independence Avenue, SW

Washington, D.C. 20250-9410;

 

(2)            fax: (202) 690-7442; or

 

(3)            email: program.intake@usda.gov.

This institution is an equal opportunity provider.

 

Published 2/20/2020