Subrecipient : Monitor: Date Completed: Civil Rights Issue Type Response Comments Requirements Section 504 Section 504 of the Rehabilitation Act of 1973, as amended, requires that no handicapped individual Description: can be excluded from participation (including employment), denied program benefits, or subjected to discrimination based solely on his or her handicap. N/A Has the Section 504 Subrecipient’s Yes Finding Compliance been previously reviewed? No Concern Were issues identified during the previous Yes N/A review? No Finding If yes, continue through this N/A Concern Section. If no, continue to next Section. N/A Has the Subrecipient submitted a Section 504 Yes Finding Self Evaluation? No Concern N/A Has the Subrecipient completed the Section Yes Finding 504 Assurance? No Concern N/A Yes Have any complaints been received? Finding No Concern Yes If yes, have the complaints been resolved? N/A No Fair Housing Title VIII of the Civil Rights Act of 1968, as amended (referred to as the Housing Description: “Fair Act”) prohibits discrimination in housing on the basis of race, color, religion, sex, or national origin. The Subrecipient is required to administer at least one fair housing activity annually. Is the Subrecipient ensuring that all activities Yes are implemented to affirmatively promote fair No housing? Has the Subrecipient administered at least one fair housing activity within the last year? Yes Notate the date and identify the type of No activity of the most recent fair housing activity within the Comments field. Yes Have any complaints been received? No Yes If yes, have the complaints been resolved? No
Subrecipient : Monitor: Date Completed: Civil Rights Requirements Response Issue Type Comments Section 504 Description: Section 504 of the Rehabilitation Act of 1973, as amended, requires that no handicapped individual can be excluded from participation (including employment), denied program benefits, or subjected to discrimination based solely on his or her handicap. Has the Subrecipient’s Section 504 Compliance been previously reviewed? Yes No N/A Finding Concern Were issues identified during the previous review? If yes, continue through this Section. If no, continue to next Section. Yes No N/A N/A Finding Concern Has the Subrecipient submitted a Section 504 Self Evaluation? Yes No N/A Finding Concern Has the Subrecipient completed the Section 504 Assurance? Yes No N/A Finding Concern Have any complaints been received? Yes No N/A Finding Concern If yes, have the complaints been resolved? Yes No N/A Fair Housing Description: Title VIII of the Civil Rights Act of 1968, as amended (referred to as the “Fair Housing Act”) prohibits discrimination in housing on the basis of race, color, religion, sex, or national origin. The Subrecipient is required to administer at least one fair housing activity annually. Is the Subrecipient ensuring that all activities are implemented to affirmatively promote fair housing? Yes No Has the Subrecipient administered at least one fair housing activity within the last year? Notate the date and identify the type of activity of the most recent fair housing activity within the Comments field. Yes No Have any complaints been received? Yes No If yes, have the complaints been resolved? Yes No
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