Type of Civil Rights complaint (required): Race Color National Origin Disability Gender Religion Age Sexual Orientation Gender Identity Note: if your complaint does not relate to discrimination on the basis of one of the items above, please contact UTA Customer Service at (801) 743-3882 or firstname.lastname@example.org to issue your complaint. You can submit an online comment for complaints not related to Civil Rights here: http://www.rideuta.com/Rider-Info/Customer-Service/Contact-Customer-Service/Write-a-CommentAre you filing this complaint on your own behalf? (required) Yes No If no, why have you filed for a third party? Please confirm you have the permission to submit complaint on behalf of a third party. (required) Yes No What is your relationship to the person for whom you are filing the complaint? (required) Date of occurrence Time of occurrence Route number Boarding location Direction of travel Destination Vehicle number Driver's name Driver's badge number Explain as clearly as possible what happened and why you believe you were discriminated against. Describe all persons involved including the names and contact information of any witnesses and of those you believe discriminated against you. (required) First name (required): Last name (required): Address line 1 Address line 2 City State Zip Phone Email UTA staff would like to reach out to you regarding your concerns. Would you like to be contacted by a member of UTA staff once our investigation is complete? (required) Yes, I would answer follow-up questions No, I do not want to be contacted Would you like UTA to contact you once our investigation is complete? (required) Yes, I would like a response No, I do not require a response Captcha is Inavlid.