Boys & Girls Clubs of Warwick

Nondiscrimination Statement
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), religious creed, disability, age, political beliefs, 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 agency (state or local) where they applied for benefits. Individuals who are deaf, hard of
hearing or have speech disabilities may 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/ad-3027.pdf,
from any USDA office, by calling (833) 620-1071, 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:
- mail:
Food and Nutrition Service, USDA
1320 Braddock Place, Room 334
Alexandria, VA 22314; or - fax:
(833) 256-1665 or (202) 690-7442; or - email:
FNSCIVILRIGHTSCOMPLAINTS@usda.gov
This institution is an equal opportunity provider.