Title VI Appeal Form

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Tennessee Arts Commission Title VI Appeal From Finding

I*
First Last
Wish to appeal the finding made on (Date of Finding)*
by (Investigator)*
of*
- Non-Discrimination
- The proposed action by the agency in the Title VI complaint
as filed by (Complainant)*
on (Date of Filing)*
Against (Person or Agency)*
at (Location)
Signed:
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Date*