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SNAP CERTIFICATION MANUAL – SECTIONS 100 TO 900 700 Discrimination 722 Addresses

Written: If a complainant wishes to submit a written complaint, the complaint must be accepted as submitted. Every effort will be made to have the complainant provide the following information: A. The name, address and telephone number or other means of contacting the complainant; B. The specific location and name of the person or agency against whom the complaint is being made; C. The nature of the incident or action which made the complainant feel that discrimination was a factor; D. An example of the treatment that is having a disparate effect on the public, applicants, or recipients; E. The basis for the alleged discrimination, i.e. - age, religion, disability, political affiliation, veteran status, sex, race, color, or national origin; F. Names, titles and business address of people who may have knowledge of the discriminatory action; and G. The date on which the alleged discrimination occurred, or if continuing, the duration of the discrimination.

722 Addresses SNAP MANUAL 01/01/07 Complaints can be filed with either or both of the following agencies. Arkansas Department of Human Services Office of Employee Relations Donaghey Plaza North, Room 205 P.O. Box 1437, Slot N203 Little Rock, AR 72203-1437 Telephone: (501) 682-6003 FAX: (501) 682-8926 TDD: (501) 682-7958 OR USDA, Director, Office of Civil Rights Room 326-W, Whitten Building 1400 Independence Avenue, S.W. Washington, D.C. 20250-9410