Office for Food and Nutrition Programs

Civil Rights Complaint Process / United States Department of Agriculture (USDA) Program Discrimination Complaint Form, (AD-3027)

All civil rights complaints that cite Federal protected bases regarding race, color, national origin, sex, disability, age, Limited English Proficiency (LEP), or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA must be submitted directly through the USDA Food Nutrition Services (FNS). Please follow the instructions below: To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
  1. mail: U.S. Department of Agriculture
    Office of the Assistant Secretary for Civil Rights
    1400 Independence Avenue, SW
    Washington, D.C. 20250-9410;

  2. fax: (202) 690-7442; or

  3. email: program.intake@usda.gov.

All civil rights complaint forms received at the Massachusetts Department of Elementary and Secondary Education will be logged and forwarded to the USDA. All other civil rights complaints that cite Commonwealth of Massachusetts (state) protected bases regarding homelessness, gender identity, sexual orientation, and religion (M.G.L. c. 76, s. 5) can be submitted to the Massachusetts Department of Elementary and Secondary Education (ESE) through ESE's Problem Resolution System Office: Problem Resolution System Office
Massachusetts Department of Elementary and Secondary Education
75 Pleasant Street, Malden, MA 02148-4906
Telephone: 781-338-3700
TTY: N.E.T. Relay: 1-800-439-2370
Fax: 781-338-3710
Email: compliance@doe.mass.edu For people who do not write or speak English, or are not comfortable communicating in English, the Department will make appropriate arrangements. For more information about the Department's Problem Resolution System please call 781-338-3700, 1-800-439-2370 (TTY: N.E.T. Relay), or visit Problem Resolution System page. This institution is an equal opportunity provider.



Last Updated: September 2, 2016



 
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Massachusetts Department of Elementary and Secondary Education
75 Pleasant Street, Malden, MA 02148-4906

Voice: (781) 338-3000
TTY: (800) 439-2370

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