simpl.
Sign in
Government Command Center 15 items

Title VI Nondiscrimination Program Checklist

Confirms a recipient of federal financial assistance maintains a Title VI program prohibiting discrimination based on race, color, or national origin, including language access.

Title VI42 U.S.C. 2000d49 CFR Part 21Executive Order 13166

Free PDF · enter your email to download.

Program Foundation

  • Has the entity adopted a Title VI policy statement and nondiscrimination plan? *
  • Is a Title VI Coordinator/Officer designated with authority over the program? *
  • Is a signed nondiscrimination assurance on file with the funding agency? *

Public Notice & Complaint Process

  • Is a public notice of Title VI rights and how to file a complaint disseminated? *
  • Is a written Title VI complaint procedure with timeframes established? *
  • Is a log of Title VI complaints, investigations, and resolutions maintained? *

Language Access (LEP)

  • Has a four-factor analysis of Limited English Proficiency needs been conducted? *
  • Is a Language Access Plan in place identifying oral interpretation and written translation services? *
  • Are vital documents translated into languages meeting the safe-harbor threshold? *

Data Collection & Monitoring

  • Are demographic data collected to evaluate service delivery for disparate impacts? *
  • Are subrecipients monitored for Title VI compliance? *
  • For programs affecting land use, is public participation conducted to engage minority and LEP populations? *

Training & Reporting

  • Do staff receive periodic Title VI and language-access training? *
  • Is the Title VI program submitted to the federal funding agency on the required cycle? *
  • Are records of Title VI activities, complaints, and analyses retained for the required period? *

Download the full Title VI Nondiscrimination Program Checklist checklist

Get it as a clean, printable PDF — free.