Civil Rights Compliance Requirements for 2010-2013
Funded Recipients, Sub-recipients, Contractors and Vendors receiving
federal and state funding from the Wisconsin Department of Health Services
(DHS), Department of Children and Families (DCF), and the Wisconsin
Department of Workforce Development (DWD) are required to submit a Civil
Rights Compliance (CRC) Letter of Assurance and in some instances must
complete a Civil Rights Compliance (CRC) Plan for the period of January 1,
2010 to December 31, 2013. Funded recipients and sub-recipients include
counties, municipalities, school districts, universities, profit and
non-profit entities, and certain vendors. The following page contains the
Instructions and Templates essential to completing the CRC Letter of
Assurance and for completing a CRC Plan to meet civil rights compliance
requirements.
Full CRC Plan and Letter of Assurance
CRC Plan by Parts
- Civil Rights
Compliance Plan (Fillable
Word, 541 KB)
- Civil Rights
Compliance Letter of Assurance (Fillable
Word, 170 KB)
- Attachment
A Signature page (Fillable
Word, 123 KB)
- Attachment
B Funding Relationship (Fillable
Word, 126 KB)
- Attachment
C Funded Program Checklist (Fillable
Word, 185 KB)
- Attachment
D Equal Opportunity in Employment & Service Delivery Policy (Fillable
Word, 110 KB)
- Attachment
E Limited English Proficiency Policy Statement (Fillable
Word, 108 KB)
- Attachment F
Employment or Service Delivery Discrimination Complaint Form and
Instructions (Fillable
Word, 169 KB)
- Attachment G
Complaint Consent/Release Form (Fillable
Word, 115 KB)
- Attachment
H Acronyms (Fillable
Word, 132 KB)
- Attachment
I The Wisconsin Programs and Services Access Self-Assessment Checklist (Fillable
Word, 329 KB)
CRC Plan Parts in Spanish
CRC Plan in Hmong
Last Revised:
October 08, 2012
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