Thank you for filling out this complaint form. The City of Mesa is committed to ensuring that no person is excluded from participation, denied the benefits of, or subjected to discrimination by the City in relation to any program or activity administered by the City or its sub recipients, consultants, or contractors on the basis of race, color, or national origin, as provided by Title VI of the Civil Rights Act of 1964, as amended. Title VI complaints must be filed within 180 days from the date of the alleged discrimination.
The following information is necessary to assist us in processing your complaint. If you require any assistance in completing this form, please contact the Title VI Coordinator, Ruth Giese, by calling 480-644-5033 or sending an email request to diversity.info @mesaaz.gov.
If you wish to mail the completed form, please complete the fields of the form and then print the web page. Mail pages to:
City of Mesa Title VI Coordinator, c/o Ruth Giese
PO Box 1466
Mesa, AZ 85211