Notice of Nondiscrimination and Accessibility Rights

Statement of Compliance

Servants Mission Inc. complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity). This includes compliance with Section 1557 of the Affordable Care Act, 45 C.F.R. Part 92, and other applicable state and federal laws.

Servants Mission Inc. does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Free Aids and Services for People with Disabilities

Servants Mission Inc. provides the following free aids and services to people with disabilities when needed to communicate effectively with us about our services:

• Qualified sign language interpreters
• Written information in other accessible formats, such as large print, audio, and accessible electronic formats

These aids and services are provided free of charge.

Language Access Services

Servants Mission Inc. currently provides services in the following language:

• English

Additional language access is under development. If you need support in a language not listed above, please contact us to request assistance and we will do our best to accommodate you.

How to Request Aids, Services, or Reasonable Modifications

If you need a communication aid, accessible format, language assistance, or a reasonable modification to our policies or practices, contact our Civil Rights Coordinator:

How to File a Complaint

If you believe Servants Mission Inc. has failed to provide appropriate aids, services, or accommodations, or has discriminated in any way covered by Section 1557, you have two paths for filing a complaint:

File directly with Servants Mission

Contact our Civil Rights Coordinator at civilrights@servantsmission.net. We will acknowledge your complaint promptly and work to resolve it.

File with the U.S. Department of Health and Human Services

You can file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights (OCR), electronically through the OCR Complaint Portal or by mail, phone, or TDD:

• Online complaint portal: ocrportal.hhs.gov (opens in new tab)
• Mailing address: U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue, S.W., Room 509F, HHH Building, Washington, D.C. 20201
• Phone: 1-800-368-1019
• TDD: 1-800-537-7697

Complaint forms are available at the OCR portal linked above.

You may file a civil rights complaint with OCR at any time. Filing with us first is not required.