Orange County NC Website
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Have you filed , or intend to file , a complaint regarding the matter raised with any of the following ? If yes , please provide the filing dates . Check <br /> all that apply . <br /> NC Department of Transportation <br /> Federal Transit Administration <br /> US Department of Transportation <br /> El US Department of Justice <br /> Federal or State Court <br /> Other <br /> Have you discussed the complaint with any OCTS representative ? If yes , provide the name , position , and date of discussion . <br /> Please provide any additional information that you believe would assist with an investigation . <br /> Briefly explain what remedy, or action , are you seeking for the alleged discrimination . <br /> * *WE CANNOT ACCEPT AN UNSIGNED COMPLAINT, PLEASE SIGN AND DATE THE COMPLAINT FORM BELOW. <br /> COMPLAINANT' S SIGNATURE DATE <br /> MAIL COMPLAINT FORM TO : <br /> Orange County Transportation Services <br /> 600 NC 86 <br /> Hillsborough , NC 27278 <br /> (919) 245 -2004 <br /> FOR OFFICE USE ONLY <br /> Date Complaint Received . <br /> Processed by . <br /> Case f <br /> Referred to; ONCIDOT f3FTA Date Referred. ' <br /> 18 � Page <br />