OIA - Language Access Grievance

You may file a formal Language Access grievance with the City of Philadelphia Office of Immigrant Affairs if you believe you have been wrongly denied language assistance services. You must file your complaint within 6 months of the alleged denial. To file a formal complaint, you must fill out a Language Access Grievance Form and submit the form in person, by mail or e-mail to:

Office of Immigrant Affairs
Maria Giraldo Gallo
Language Access Program Manager
Municipal Services Building, Suite 1430
Philadelphia, PA 19102

T (215) 686-0876 | C (215) 941-2214
Maria.Giraldo-Gallo@phila.gov

Additionally, any person, regardless of immigration status, may submit a formal legal complaint through the Philadelphia Commission on Human Relations. To do so, please complete a Public Accommodations Discrimination Intake Form and submit in person or by mail to:

Philadelphia Commission on Human Relations
The Curtis Center
601 Walnut Street., Suite 300 South
Philadelphia, PA 19106

To access the form and for more information, please visit www.phila.gov/humanrelations

If you feel we have been unable to serve you because of language barriers, the City of Philadelphia Office of Immigrant Affairs may be able to provide additional assistance in serving your requested needs.

Please provide the following information and we will attempt to resolve your concern(s) in a timely manner.

Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Format: (000) 000-0000.

Email

example@example.com

Date of complaint/incident*

Date

Name of Philadelphia government department/agency*

Location of department/agency (if applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone number contacted (if applicable)

Format: (000) 000-0000.

What language did you need assistance with?

Please describe the service(s) you sought and any other information that may be helpful in resolving your complaint. Use the space below to explain and expand on any of the items checked above.

Please provide a description. Include details such as the name(s) or position(s) of any relevant individuals and the type of services/information that you were seeking.

YesNo

Name

Organization

Phone Number

Format: (000) 000-0000.

Email

example@example.com

Information for person making the complaint

Complaint/incident details