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1320 Braddock Place, Room 334 Alexandria, VA 22314; or 2. fax: (833) 256-1665 or (202) 690-7442; or 3. email: FNSCIVILRIGHTSCOMPLAINTS@usda.gov This institution is an equal opportunity provider. RIGHT TO FILE A COMPLAINT Individuals who believe that they have been subject to discrimination as specified above in the USDA Nondiscrimination Statement may file a complaint as described in that Statement and/or with the State agency. The State agency shall explain both the FNS and, if applicable, the State agency complaint system to everyone who expresses an interest in filing a discrimination complaint and shall advise the individual of the right to file a complaint in either or both systems. A complaint filed with the State of Montana can be made by mail or telephone at: Civil Rights Coordinator DPHHS – Human Resources P.O. Box 4210 Helena, MT 59601 Call (406) 444-3136 COMPLAINT REQUIREMENTS Any individual wanting to file a discrimination complaint shall be advised immediately of their right to do so and shall be given the necessary information (listed below) to file the complaint. When an individual asks for assistance with the complaint filing process, DPHHS staff shall assist the individual. A complaint must be filed no later than 180 days from the date of the alleged discrimination. All complaints shall contain the following information: 1. The name, address and telephone number or other means of contacting the person filing the complaint. 2. The name and location of the organization or office accused of the discriminatory practice. 3. A description of the alleged discrimination incident. 4. The reason for the alleged discrimination (race, color, national origin, sex, religious creed, disability, age, political beliefs, or reprisal or retaliation for prior civil rights activity). 5. The names, titles (if appropriate) and addresses of individuals who may have knowledge of the alleged discriminatory acts; and,