Please enable JavaScript in your browser for a better user experience.
Greenville, NC
Home
Menu
Bids & RFPs
|
Career Opportunities
|
Contact Us
|
eGov
|
Staff Directory
Search...
CLOSE
Go
Library
Recreation and Parks
Police
Parking
Transportation
Council Agendas
Employment Opportunities
Trash Collection
Online Police Reports
Aquatics Fitness Center
River Park North
Programs & Activities
Home
Services
eGov
Building Permits
Building Permit Reporting Tool
City Code
City Compass
Current Employment Opportunities
e-Notification
Online Mapping
Pay Parking Tickets
Police Reports
Register For Rec & Parks Programs
Surplus Items On-line Auction
Your NextBus!
Our City
About Greenville
Accolades for Greenville
ADA Compliance Notice
Community ADA Questionnaire
Dining
East Carolina University
Emerald Express Uptown Circulator
GREAT Bus System
Helpful City Information
Holiday Schedule
New Resident Info
Parking
Power, Water, Sewer, and Natural Gas
Public Schools
Resident Responsibilities and City Ordinances
Sign Up for e-Newsletter
Things to do in Greenville
Aquatics and Fitness Center
Athletics Programs
Bike Map for Greenville & Pitt County
Bradford Creek Public Golf Course
Carver Library
Center for Arts & Crafts at Jaycee Park
City Parks and Recreation Facilities
Community Arts Calendar
Convention & Visitors Bureau
East Branch Library
ECU Athletics
ECU School of Music Events
ECU Fine Arts Events
Emerge Gallery & Art Center
Greenville Convention Center
Greenville's Greenways
Greenville Museum of Art
Magnolia Arts Center
Pitt County Arts Council
Recreation & Parks Programs
River Park North
Sheppard Memorial Library
Specialized Recreation
Uptown Greenville
Wellington B. Gray Gallery
Whirligig Stage
Trash & Recycling
Trash & Recycling Schedule
Visitor Info
Weather
Live
Government
City Council
Boards and Commissions
City Council Meetings
Notice of Sale of City Property
City Attorney's Office
Contact Us
City Clerk's Office
Contact Us
City Code
City Manager's Office
Contact Us
Frequently Asked Questions
Public Information Office
Special Events
Engineering
Contact Us
Greenville Urban Area Metropolitan Planning Organization
Manual of Standard Designs and Details
Stormwater Management
Street Resurfacing
Traffic Services
Financial Services
Contact Us
Budget Ordinances & Amendments
Current Bid Opportunities
Surplus Items On-line Auction
Fire/Rescue
Contact Us
Career Info
EMS Information
Fire Inspections, Cause Investigations, and Permits
Fire Prevention & Life Safety Services
Human Resources
Contact Us
Check on my Application
Current Employment Opportunities
Employee Benefits
Transparency in Coverage Rule
Information Technology
Contact Us
GIS
Online Mapping
Parking
Contact Us
Citations
Enforcement & Rules
Tow Services
Planning and Development Services
Contact Us
Code Enforcement Division
Housing Division
Inspections Division
Planning Division
Zoning Ordinance
Police
Mental Health/Crisis Services
Contact Us
ReportIt
Animal Protective Services
Careers
Crime Stats and Maps
Police Training
Police Reports and Permits
Public Works
Contact Us
Adopt-A-City Street
Buildings & Grounds Division
GREAT Bus System
Street Maintenance
Trash and Recycling
Recreation & Parks
Contact Us
Wildwood Park Home
Aquatics & Fitness Center
Athletics
Bradford Creek Public Golf Course
Camps
Programs and Activities
Recreation and Park Facilities
Register For Rec & Parks Programs
River Park North
Special Events
Business
Building Inspections
Building Permits
Building Regulations
Business Assistance
Business Licenses
Chamber of Commerce
Current Bid Opportunities
Current City Jobs
Greenville-ENC Economic Development Alliance
MWBE Program
Online Mapping
Pitt County Economic Development
Planning
Purchasing
Social Districts
I Want To...
Apply for...
a board or commission
a building permit
a business license
a City job
a home alarm permit
trash service
utility service (power, water, natural gas)
Be able to...
appeal a parking ticket
bid on City surplus
book a tee time
find a lost pet
pay a parking ticket
rent a picnic shelter
report a problem
ride a bus
Contact Greenville
Find out about...
animal control
athletic programs
city council meetings
code enforcement
consolidated plan & afh
flooding
maps (downloadable)
maps (online)
parking
recreation programs
renting a picnic shelter
spring cleanup
trash and recycling
voter information
Register for...
a recreation program
eNewsletters
spring cleanup
Request a...
bulky trash pickup
Mayoral Proclamation
Jump to subpage...
GREAT Bus System
-
Contact Us
Fares & Passes
GREAT Rider Information
Public Transportation and Parking Commission
Schedules & Transit Maps
Title VI Form
Your NextBus!
Related Links
AMTRAK Shuttle
NC
DOT
Title VI Form
Print
Feedback
Share & Bookmark
Share & Bookmark, Press Enter to show all options, press Tab go to next option
Email
Facebook
LinkedIn
Twitter
Reddit
Font Size:
+
-
Bus Fares
Bus Map & Schedule
Contact Us
Next Bus
Rider Information
Please correct the field(s) marked in red below:
1
Name:
Name:
2
Address:
Address:
3
Telephone 1:
Telephone 1:
4
Telephone 2:
Telephone 2:
5
Email Address:
Email Address:
6
Are you filling out this form on your behalf?
Are you filling out this form on your behalf?
Yes
No
7
If you answered "no" to the previous question, please provide the name and the relationship of the person for whom you are complaining. Also, please explain why you are filing a complaint for someone else.
If you answered "no" to the previous question, please provide the name and the relationship of the person for whom you are complaining. Also, please explain why you are filing a complaint for someone else.
8
What was the discrimination about which you are complaining based on? Mark all that apply.
What was the discrimination about which you are complaining based on? Mark all that apply.
Race
Color
National Origin
9
What was the date of the alleged discrimination?
What was the date of the alleged discrimination?
10
Please explain as clearly as possible what happened and why you believe there was discrimination. Describe all persons who were involved. Include the name(s) and contact information of the person(s) who you believe did the discriminating (if known). Include the name(s) and contact information of any witnesses. You may also attach any written material or other information that you think is relevant to the complaint.
Please explain as clearly as possible what happened and why you believe there was discrimination. Describe all persons who were involved. Include the name(s) and contact information of the person(s) who you believe did the discriminating (if known). Include the name(s) and contact information of any witnesses. You may also attach any written material or other information that you think is relevant to the complaint.
11
Have you previously filed a Title VI complaint with GREAT?
Have you previously filed a Title VI complaint with GREAT?
Yes
No
12
Have you filed this complaint with any other Federal, State, or local agency, or with a Federal or State court?
Have you filed this complaint with any other Federal, State, or local agency, or with a Federal or State court?
Yes
No
13
If you have filed with complaint with a Federal, State or local agency, or a Federal or State court, please note which ones. Mark all that apply.
If you have filed with complaint with a Federal, State or local agency, or a Federal or State court, please note which ones. Mark all that apply.
Federal Agency
Federal Court
State Agency
State Court
Local Agency
14
If you identified any agency/court, please provide information about a contact person at the agency/court where the complaint was filed.
If you identified any agency/court, please provide information about a contact person at the agency/court where the complaint was filed.
15
Please add any other information that you feel is relevant.
Please add any other information that you feel is relevant.
16
This form requires an electronic signature. Please type your full name and today's date in the space provided.
*
This form requires an electronic signature. Please type your full name and today's date in the space provided.
To receive a copy of your submission, please fill out your email address below and submit.
Email Address
To prevent spam we utilize a verification code system. Please enter the code as it is shown in the box below:
Code:
Page 1 / 1