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Complaint Form

To file a complaint, please complete the complaint form and submit it to the following address:

Port Arthur Independent School District
Child Nutrition Director
4801 9th Avenue
Port Arthur, TX 77642;

or call (409) 989-6122.

All complaints, written, verbal or in person, are automatically forwarded to the Texas Department of Agriculture.

Complaint Form

Para presentar una queja, complete el formulario de queja y envíelo a la siguiente dirección:


Port Arthur Independent School District
Child Nutrition Director
4801 9th Avenue
Port Arthur, TX 77642;

o llamar (409) 989-6122.

Todas las quejas, escritas, verbales o en persona, se envían automáticamente al Departamento de Agricultura de Texas.

Formulario de queja

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the responsible state or local agency that administers the program or USDA's TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD 3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant's name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to USDA by:

  1. mail:
    U.S. Department of Agriculture
    Office of the Assistant Secretary for Civil Rights
    1400 Independence Avenue, SW
    Washington, D.C. 20250-9410; or
  2. fax:
    (833) 256-1665 or (202) 690-7442; or
  3. email:
    program.intake@usda.gov

 This institution is an equal opportunity provider.