Please send form to: Mail payment to: CASA of Douglas County 545 W Umpqua St Suite #2 Roseburg, OR 97471
"Our mission is to provide children who have been abused or neglected and are now in foster care, with qualified, compassionate advocates who will fight for and protect children's fundamental right to be safe, to be treated with dignity and respect, and to learn and grow in the safe embrace of a loving family".
CASA of Douglas County | 545 W Umpqua St., Ste. #2 | Roseburg, Oregon 97471 Phone: 541-672-7001 | Fax: 541-440-3880
NOTICE of NONDISCRIMINATION RIGHTS and PROTECTIONS to BENEFICIARIES CASA of Douglas County, Inc. operates its program, services and activities in compliance with federal nondiscrimination laws. No person shall, on the basis of race, color, national origin (including limited English proficiency), disability, religion, sex, gender identity, sexual orientation, or age, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any of our programs. To file a complaint of discrimination, write Office for Civil Rights, Office of Justice Programs, U.S. Department of Justice (OCR), 810 7th Street, NW, Washington, DC 20531 or call 202-307-0690 (Voice) or 202-307-2027 (TDD/TTY). Individuals who are hearing impaired or have speech disabilities may also contact OCR through the Federal Relay Service at 800-877-8339 (TTY), 877-877-8982 (Speech) or 800-845-6136 (Spanish). To file a complaint of discrimination with this organization, write CASA of Douglas County, Inc., 545 W Umpqua St., Ste. #2, Roseburg, Oregon 97471 or call 541-672-7001. To file a complaint of discrimination with Oregon Department of Justice, Crime Victim and Survivor Services Division, write Oregon Department of Justice, Crime Victim and Survivor Services Division, Attn: Shannon Sivell, Complaint Coordinator, 1162 Court Street NE, Salem, OR 97301 or call 503-378-5348. You may also email to firstname.lastname@example.org.