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Online External Complaint Form

Use this online version of State Form 54516 (1-11) to file an External Complaint of Discrimination under Title VI of the Civil Rights Act of 1964 and Related Statutes.

Your Information ("Complainant")

Please click the link below and fill out the form to submit a complaint.

Submit a Complaint

Kimberly Ray, Title VI Program Manager
Indiana Department of Transportation Economic Opportunity Division
100 N Senate Ave. Room 755B Indianapolis, IN 46204
Telephone number : (317) 238-4718
Fax number : (317) 233-0891
E-mail address:

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