Discrimination Complaint Form

Please complete this form if you feel that you have experienced discrimination by the Minnesota Department of Transportation (MnDOT), its sub-recipients, consultants, or contractors on the basis of race, color, national origin, sex, age, income status, or disability, in violation of the Title VI Act of 1964 and related statutes. The complaint must be filed no later than 180 calendar days of the alleged discriminatory incident.

The complaint procedure is available in English, Spanish, Hmong, and Somali:

Complaint procedure in Spanish (Word)
Complaint procedure in Hmong (Word)
Complaint procedure in Somali (Word)

Complaint form is available in English, Spanish, Hmong, and Somali:

Complaint form in Spanish (PDF)
Complaint form in Hmong (PDF)
Complaint form in Somali (PDF)

Requests for additional languages or alternative formats should be directed to OCRFormSubmissions.DOT@state.mn.us or 651-366-3073. Individuals who need relay services should contact 711.