Form Center

2. Complaint Form

   The Wave Transit System is committed to ensuring that no person is excluded from participation in or denied benefits of its services based on race, color, or national origin, as provided by Title VI of the Civil Rights Act of 1964, as amended. Civil Rights complaints must be filed within 180 days from the date of the alleged discrimination.

   Instructions: If you would like to submit a Civil Rights complaint to The Wave Transit System (WTS), please fill out the form below and send it to: The Wave Transit System, Attn: Civil Rights Officer, 110 Beauregard St., Suite 104, Mobile AL 36602, or, to the Federal Transit Administration Office of Civil Rights, East Building, 5^th Floor-TCR, Attn: Complaint Team, 1200 New Jersey., SE, Washington, DC 20590. 

   For questions or a full copy of The Wave’s Title VI Policy and Complaint Procedures call 251-344-6600, ext. 225.

4. Name (Complainant)*
5. Phone*
7. Home Address
9. If applicable, name of person(s) who allegedly discriminated against you:
11. Location and position of person(s) if known:
13. Date of Incident*
    Date of Incident
15. Discrimination because of:*

    1. Race

    1. National Origin

    1. Color
17. Description of Incident*
    Explain as briefly and clearly as possible what happened and how you believe you were discriminated against. Indicate who was involved. Be sure to include how you feel other persons were treated differently than you. Also, attach any written material pertaining to your case.
19. Related Materials
21. Why do you believe these events occurred?*
23. What other information do you think is relevant to the investigation?
25. How can this / these issue(s) be resolved to your satisfaction?*
27. Please list below any person(s) we may contact for additional information to support or clarify your complaint (witnesses):*
29. Have you filed this complaint with any other federal, state, or local agency; or with any federal or state court?*

    1. Yes
    2. No
31. If yes, check all that apply:

    1. Federal Agency
    2. Federal Court

    1. Local Agency
    2. State Agency

    1. State Court
33. If filed at an agency and/or court, please provide information about a contact person at the agency/court where the complaint was filed:
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field