A Title VI complaint form can be obtained from Monroe County Department of Human Services, 111 Westfall Rd., Room 754A, Rochester, New York 14620 or by clicking the link below.

Download Title VI Complaint Form

In addition to the complaint process at Monroe County, complaints may be filed directly with the:

Federal Transit Administration
FTA Region 2 Office
One bowling green
Room 429
New York, New York 10004-1415
Telephone (212) 668-2170, Fax (212) 668-2136.

Complaints must be filed within 180 days following the date of the alleged discriminatory occurrence and should contain as much detailed information about the alleged discrimination as possible.

The form must be signed and dated, and include your contact information.

Contact Ms. Debbie Perna, Title VI Coordinator, (585) 753-6909 number with questions.

NOTE: If information is needed in another language or an interpreter is needed, contact Monroe County Department of Human Resources, by phone at 585 753-1700 or in person at Room 210, 39 W. Main Street, Rochester, NY 14614-1471 during normal business hours, Monday through Friday, 9:00 a.m. until 5:00 p.m.