Form DHS 866 is a form used to apply for advance permission to enter the United States. Also known as a visa waiver application, this form is used by citizens of specific countries who are traveling to the US for temporary business or tourist purposes and do not have a valid visa. In order to complete the form, you will need to provide information about your trip, including your planned dates of travel and purpose of visit. You may also be asked to provide biographical information, such as your name, date of birth, and passport number. Completing this form accurately and submitting it well in advance of your trip will help ensure a smooth entry into the United States.
Question | Answer |
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Form Name | Form Dhs 866 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | dhs 866 michigan, Lansing, VII, discriminate |
COMPLAINT UNDER AMERICANS WITH DISABILITIES ACT
(Title II) and Section 504
Michigan Department of Human Services
Instructions: Please fill out this form completely, in black ink or type. Sign and return to the address on page 2.
Complainant Name:
Address:
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Person Completing This Form: |
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(if other than the complainant) |
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Telephone: Home: |
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County/Program that you believe has discriminated against you:
Name:
Address:
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Telephone Number:
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When did the event occur? Date:
Describe the event providing the name(s) where possible for the individuals who were involved (use space on page
2 if necessary):
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Has the complaint been filed with the Michigan Department of Civil Rights or the Federal Department of Justice or any other federal agency or court?
Yes
No
If yes give name of agency or court:
Contact Person:
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Date Filed:
Do you intend to file with another agency or court?
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Agency or Court:
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Additional space for answers:
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Return to:
Office of Human Resources
PO Box 30037
Lansing, MI 48909
Phone: (517)
Fax: (517)
Authority: |
Sec.709(c), Title VII, Civil Rights Act of |
Department of Human Services (DHS) will not discriminate against any individual or |
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group because of race, religion, age, national origin, color, height, weight, marital status, |
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1969, as amended. |
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sex, sexual orientation, gender identity or expression, political beliefs or disability. If you |
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Response: Voluntary |
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need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, |
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Penalty: |
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you are invited to make your needs known to a DHS office in your area. |
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