Title VI Notice to the Public

Notifying the Public of Rights Under Title VI Wyoming Services for Independent Living. Wyoming Services for Independent Living operates its programs and services without regard to race, color, and national origin in accordance with Title VI of the Civil Rights Act.  Any person who believes she or he has been aggrieved by any unlawful discriminatory practice under Title VI may file a complaint with Wyoming Services for Independent Living. For more information on Wyoming Services for Independent Living’s civil rights program or Title VI obligations, the procedures for, or to file a complaint, please contact: Paul Haapala, Title VI Coordinator307-362-4159, (TTY 307-362-4159)Email: paul.haapala@wysil.org, or visit our administrative office at1471 Dewar Dr., Suite 104; Rock Springs, WY  82902For more information, visit:  wysil.org. For transportation-related Title VI matters, a complaint may also be filed directly with WYDOT’s Office of Civil Rights to: Title VI Coordinator, 5300 Bishop Blvd., Cheyenne, WY 8200; via phone: 307-777-4457; or email: DOT-civilrights@wyo.gov or to Federal Transit Administration, Office of Civil Rights, Director East Building, 5th Floor-TCR, 1200 New Jersey Ave., SE, Washington, DC, 20590.If information is needed in another language, contact 307-362-4159.Si se necesita información en otro idioma, comuníquese con 307-362-4159.

Wyoming Services for Independent Living’s Notice to the Public is available at our at our staff offices as follows:

WSIL Cody:  808 Meadow Lane, Cody, WY  82414

WSIL Powell:  102 East 2^nd St, Powell, WY  82435

WSIL Lander:  1156 South 2^nd St., Lander, WY  82520

WSIL Springs:  1471 Dewar Dr., Suite 104, Rock Springs, WY  82902.

Notificación al Público de Derechos Bajo el Título VIWyoming Services for Independent Living opera sus programas y servicios sin distinction de raza, color y origen nacional, segun el Título VI de la Ley de Derechos Civiles.  Cualquier persona que cree o que ha sido perjudicada por una práctica discriminatoria ilegal bajo el Título VI puede presentar una queja con el Wyoming Services for Independent Living.Para obtener más información sobre el programa de derechos civiles  o lost obligaciones Titulo VI de Wyoming Services for Independent Living, o para obtener más información sobre los procedimientos para, o a presenter una queja, se pone en contacto con:Paul Haapala, Title VI Coordinator307-362-4159, (TTY 307-362-4159)Email: paul.haapala@wysil.orgO visite a nuestra oficina administrative en:1471 Dewar Dr. Suite 104, Rock Springs, WY  82902Para más información, visite a: wysil.orgPara asuntos del Título VI relacionados con el transporte, también se puede presentar una queja directamente ante la Oficina de Derechos Civiles de WYDOT a: Coordinador del Título VI, 5300 Bishop Blvd., Cheyenne, WY 8200; vía telefónica: 307-777-4457; o correo electrónico: DOT-civilrights@wyo.govAdministración Federal de Tránsito (FTA), Oficina de Derechos Civiles, DirectorEast Building, 5th Floor-TCR, 1200 New Jersey Ave., SE Washington, DC, 20590.Si se necesita información en otro idioma, comuníquese con 307-362-4159.

Section 4:  Title VI Complaint Procedure

Any individual, group of individuals or entity that believes they have been discriminated against on the basis of race, color, or national origin by Wyoming Services for Independent Living may file a Title VI complaint by completing and submitting the agency’s Title VI Complaint Form.

If the complainant is unable to reduce the complaint to writing, please contact the Title VI Coordinator using the information below, and a staff member will help dictate the complaint or provide other necessary assistance.

Any individual having filed a complaint or participated in the investigation of a complaint shall not be subjected to any form of intimidation or retaliation. Individuals who have cause to think that they have been subjected to intimidation or retaliation can file a complaint of retaliation following the same procedure for filing a discrimination complaint.

A complaint must be filed with Wyoming Services for Independent Living no later than 180 days after the following:

1. The date of the alleged act of discrimination; or
2. The date when the person(s) became aware of the alleged discrimination; or
3. Where there has been a continuing course of conduct, the date on which that conduct was discontinued of the latest instance of the conduct.

Once the complaint is received, Wyoming Services for Independent Living will review it to determine if our office has jurisdiction. A copy of each Title VI complaint received will be forwarded to the agency’s Title VI Coordinator. The complainant will receive an acknowledgement letter informing her/him whether the complaint will be investigated by our office.

Wyoming Services for Independent Living has 45 days to investigate the complaint. If more information is needed to resolve the case, Wyoming Services for Independent Living may contact the complainant requesting further information. The complainant has 15 business days from the date of the letter to send requested information to the investigator assigned to the case. If the investigator is not contacted by the complainant or does not receive the additional information within 15 business days, Wyoming Services for Independent Living can administratively close the case.

After the investigator reviews the complaint, the agency will issue one of two (2) letters to the complainant: a closure letter or a letter of finding (LOF).

• A closure letter summarizes the allegations and states that there was not a Title VI violation and that the case will be closed.
• A letter of finding (LOF) summarizes the allegations and the interviews regarding the alleged incident, and explains whether any disciplinary action, additional training of the staff member, or other action will occur.

If the complainant wishes to appeal the decision it must direct the appeal back to the agency. The complainant has 30 days after receipt of the closure letter or the letter of finding to do so. The appeal will be investigated and decided by a separate party than the Title VI Coordinator (or other official who issued the initial decision).  The appeal process information will be included in the letter.

Written Title VI Complaints, or any questions regarding Title VI protections, should be forwarded to:

Paul Haapala, Title VI Coordinator

307-362-4159, (TTY 307-362-4159)

Email: paul.haapala@wysil.org

Or visit our administrative office at

1791 Dewar Dr., Suite 104, Rock Springs, WY  82902

A person may also file a complaint directly with WYDOT’s Office of Civil Rights at:

Title VI Coordinator, 5300 Bishop Blvd., Cheyenne, WY 8200; via phone: 307-777-4457;

or email: DOT-civilrights@wyo.gov

Or

Federal Transit Administration, Office of Civil Rights, Director

East Building, 5^th Floor-TCR, 1200 New Jersey Ave., SE Washington, DC, 20590.

if information is needed in another language, please contact (307) 362-4159.

Si necesita información en otro idioma, por favor llame (307) 362-4159.

Complaint Form

Section I:
Name:
Address:
Telephone (Home):			Telephone (Work):
E-Mail Address:
Accessible Format Requirements?	Large Print				Audio Tape
	TDD				Other
Section II:
Are you filing this complaint on your own behalf?						Yes*		No
*If you answered “yes” to this question, go to Section III.
If not, please supply the name and relationship of the person for whom you are complaining:
Please explain why you have filed for a third party:
Please confirm that you have obtained the permission of the aggrieved party if you are filing on behalf of a third party.						Yes			No
Section III:
I believe the discrimination I experienced was based on (check all that apply): Title VI: [ ] Race       [ ] Color                  [ ] National Origin                        Other (specify): ________________________________________________________________________________ Date of Alleged Discrimination (Month, Day, Year):          __________ Explain as clearly as possible what happened and why you believe you were discriminated against. Describe all persons who were involved. Include the name and contact information of the person(s) who discriminated against you (if known) as well as names and contact information of any witnesses. If more space is needed, please use the back of this form. _____________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________
Section IV
Have you previously filed a Civil Rights related complaint with this agency?						Yes	No
Section V
Have you filed this complaint with any other Federal, State, or local agency, or with any Federal or State court? [ ] Yes                              [ ] No If yes, check all that apply: [ ] Federal Agency:                                        [ ] Federal Court                                                        [ ] State Agency                                  [ ] State Court                                                             [ ] Local Agency
If marked Yes in Section V, please provide information about a contact person at the agency/court where the complaint was filed.
Name:
Title:
Agency:
Address:
Telephone:
Section VI
Name of agency complaint is against:
Contact person:
Title:
Telephone number: