Orange County NC Website
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Have you filed, or intend to tile, a complaint regarding the matter raised with any of the following? If yes, please provide the filing dates.Check <br /> all chat appily. <br /> ❑NC aeparlmerd ofTransportation <br /> ❑Federal Transit Administration <br /> ❑US Department of Transporlation <br /> ❑US Department of Justice <br /> ❑Federal or State Gout <br /> ❑Other <br /> Have you discussed the complaint with any OGTS representative?If yes, provide the name, position, and date of discussion. <br /> Please provide any additional information that you believe would ass ist with an investig ation. <br /> Briefly explain what remedy, or action,are you seebng 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 SB <br /> Hillsborough, NC 27278 <br /> (919)245-2004 <br /> FOR OFFICE USE ONLY <br /> Date Complaint Received: <br /> Processed by: <br /> Case#_ <br /> Referred to: ❑NCDOT ❑FTA date Referred: <br />