Submit a Complaint

Title IV Complaint Procedures

 If you believe that you have been discriminated against because of your race, color, age, sex, sexual orientation, gender identity, disability, national origin, religion, income status or national origin (limited English proficiency), by Town programs or activities, you may file a formal complaint. 

HOW TO FILE A COMPLAINT?

While a Complainant may preliminarily submit his or her complaint by online form submission or email to the Title VI Coordinator, a signed, original copy of the complaint must be mailed to the Title VI Coordinator to officially begin the complaint process. Complainants may use the Complaint Form below or submit their own written version.

Note: Any person with a disability may request to file his or her complaint using an alternative format. Town of Shamrock Lakes does not require a Complainant to use the Town of Shamrock Lakes complaint form when submitting his or her complaint. 

Direct all complaints of discrimination pursuant to Title VI to:

Town of Shamrock Lakes
Title VI Coordinator, Attn: Complaints
Box 386
Hartford City, IN, 47348
shamrocklakes@hotmail.com

ELEMENTS OF A COMPLETE COMPLAINT

A complaint must be both written and signed to be complete.  Verbal complaints must be reduced to writing and provided to the Complainant for confirmation, review and signature before processing.  The complaint form is available for download below.

Additionally, a complaint must include the following information:

• The full name and address of the Complainant;
• The full name and address of the Respondent, the individual, agency, department or program that allegedly discriminated against Complainant; and
• A description of the alleged discriminatory act(s) that violated Title VI (i.e., an act of intentional discrimination or one that has the effect of discriminating on the basis of race, color, national origin, sex, age or disability) and the date of occurrence.

Download Formal Complaint Form Here