Title VI of the Civil Rights Act of 1964 Notice
Monmouth Medical Center operates its programs and services without regard
to race, color, or national origin in accordance with Title VI of the
Civil Rights Act of 1964, as amended. Any person who believes that she
or he has been aggrieved by any unlawful discriminatory practice under
Title VI may file a complaint in writing to Monmouth Medical Center. To
file a complaint, or for more information on Monmouth Medical Center’s
obligations under Title VI write to: 300 Second Avenue, Long Branch, NJ
07740, Attn: Patient Satisfaction or visit: barnabashealth.org/Monmouth.
Please note transportation services provided using the NJ Transit Van
provided, by Monmouth Medical Center, are in whole or part funded through
federal funds received through NJ TRANSIT and as an individual you also
have the right to file your complaint under Title VI to the Federal Transit
Administration (FTA) by writing to: Title VI Program Coordinator, East
Building, 5th Floor – TCR, U.S. Department of Transportation, Federal
Transit Administration, Office of Civil Rights, 1200 New Jersey Avenue,
SE, Washington, D.C. 20590.
Download the General Complaint Form.
The following Title VI Policy and Complaint Form information is provided
in multiple languages.
If information is needed in another language, please contact 732.923.6695.