Create a Better Future

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA's TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant's name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

mail:
U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410; or

fax:
(833) 256-1665 or (202) 690-7442; or

email:
program.intake@usda.gov

This institution is an equal opportunity provider.

I. Right to File a Complaint
Any person alleging discrimination basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity has a right to file a complaint within 180 days of the alleged discriminatory action.

II. Acceptance
All complaints, written or verbal, shall be accepted by Marie Detty Youth & Family Services Center, Inc. and be submitted to the School Nutrition Programs, Oklahoma Department of Human Services or sent directly to U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410, or faxed to (202) 690-7442 or emailed to program.intake@usda.gov. 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. It is necessary that the information be sufficient to determine the identity of the agency or individual toward which the complaint is directed, and to indicate the possibility of a violation. Only the USDA Director of Civil Rights can reject a complaint based on lack of merit. Anonymous complaints shall be handled as any other complaint.

III. Verbal Complaints
In the event that a complainant makes the allegation verbally or through a telephone conversation and refuses or is not inclined to place such allegations in writing, the person to whom the allegations are made shall write up the elements of the complaint for the complainant. Every effort should be made to have the complainant provide the following information:

a. Name, address and telephone number or other means of contacting the complainant.
b. The specific location and name of the entity delivering the program service or benefit.
c. The nature of the incident(s) or action(s) that lead the complainant to feel discrimination was a factor.
d. The basis on which the complainant feels discrimination exists (race, color, national origin, sex, age or disability).
e. The names, titles and addresses of persons who may have knowledge of the discriminatory action(s).
f. The date(s) during which the alleged discriminatory action occurred, or if continuing, the duration of such actions.

Adopted or Approved by:

School Name:
Name:
Title:
On (date):

Marie Detty Youth & Family Services Center, Inc. is an equal opportunity provider.