Visit www.dhs.ri.gov for more information.
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USDA 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:
1. mail: Food and Nutrition Service, USDA
1320 Braddock Place, Room 334
Alexandria, VA 22314; or
2. fax: (833) 256-1665 or (202) 690-7442; or
This institution is an equal opportunity provider.
Note: Please do not send any application materials to the address above. The address above is for civil
rights complaints only. Please send application materials to the address below:
RI Department of Human Services
P.O. Box 8709
Cranston, RI 02920-8787
If you have questions or need more information, please call us at 1-855-MY-RIDHS
(1-855-697-4347), Monday, Tuesday, Thursday or Friday, 8:30 a.m.–3:30 p.m. You may also visit our website
(www.dhs.ri.gov) for more information.