Title VI Non-Discrimination Plan

Policy Statement

The City of Waverly hereby assures that no person shall on the grounds of race, color, national origin, gender, age or disability, as provided by Title VI of the Civil Rights Act of 1964, 42 U.S.C. §2000d, and the Civil Rights Restoration Act of 1987, Pub. L. No. 100-259, 102 Stat. 28, be excluded from participation in, be denied the benefits of or be otherwise subjected to discrimination under any program or activity receiving federal financial assistance. The City of Waverly further assures every effort will be made to ensure nondiscrimination in all of its programs and activities, regardless of whether those programs and activities are federally funded.

The City of Waverly assures that every effort will be made to prevent discrimination through the impacts of its programs, policies and activities on minority and low-income populations. In addition, the City of Waverly will take reasonable steps to provide meaningful access to services for persons with Limited English Proficiency. The City will, where necessary and appropriate, revise, update and incorporate nondiscrimination requirements into appropriate manuals, directives and regulations.

Title VI Coordinator:

William Werger, City Attorney 

200 1st Street NE P.O. Box 616 

Waverly, IA 50677 

319-352-9210 

wwerger@waverlyia.com

Complaint Process

Title VI Complaint forms are available in the Administration Office from the Waverly City Clerk and may filed locally in person with: or, mailed to:

City of Waverly
Administration City of Waverly, Administration
200 1st Street NE P.O. Box 616
Waverly, IA 50677 Waverly, IA 50677

Complaints may also be submitted by mail, email, and fax to:

Iowa Department of Transportation
Office of Employee Services - Civil Rights
800 Lincoln Way
Ames, Iowa 50010
515-239-1422
515-817-6502 (fax)
dot.civilrights@dot.iowa.gov

Complaints should be filed within 180-calendar days from the date of the alleged discriminatory act. Complaints should be in writing and provide an explanation of what happened, the complainant’s contact information, basis of complaint, identification of the respondent, sufficient information regarding the allegation(s), date(s) of the alleged act(s) and be signed by the complainant or the complainant’s representative. Complaints may be filed in person, via mail, fax, email (which includes a copy of the signed and dated complaint as an attachment), or by other alternatives for any person requiring reasonable accommodation.

RELEVANT FORMS

City of Waverly & Iowa DOT Non-Discrimination Agreement

City of Waverly & US DOT Standard Title VI Non Discrimination Assurances (DOT Order No. 1050.2A)

Title VI Protect Your Civil Rights Brochure (English)

Title VI Protect Your Civil Rights Brochure (Espanol)

Title VI Non Discrimination Complaint Form

Title VI Non Discrimination Complaint Form (Espanol)

Title II ADA Complaint Form

Title II ADA Complaint Form (Espanol)