We get excited when we talk about our day services here at Buckeye! We always have fun and educational ideas in the works. Whether we are taking a field trip, learning to cook yummy dishes, helping our local community or working at our company greenhouse, we are always looking for ways to enrich the lives of the folks we serve!
+ Staff hours are 8:00AM to 3:00PM Monday – Friday.
+ Consumer hours are 9:00AM to 2:00PM Monday – Friday.
ADS is located right next to/behind our main office at 220 Morton St. Jackson, Ohio 45640.
Buckeye Community Service ADS key goals are focused on – Vocational Habilitation – Adult Daily Living Skills – Recreational Activities
Notifying the Public of Rights Under Title VI Buckeye Community Services, Inc. • Buckeye Community Services, Inc. operates its programs and services without regard to race, color, and national origin in accordance with Title VI of the Civil Rights Act. Any person who believes she or he has been aggrieved by any unlawful discriminatory practice under Title VI may file a complaint with the Executive Director. • For more information on Buckeye Community Services’ civil rights program, and the procedures to file a complaint, contact (740) 286-5039; email beyecserv@bcs77.org; or visit our administrative office at 220 Morton Street, Jackson, OH 45640. For more information, visit http://www.buckeyecommunityservices.org. • For transportation-related Title VI matters, a complainant may file a complaint directly with the Ohio Department of Transportation by filing a complaint with the Office of Equal Opportunity, Attention: Title VI Coordinator, 1980 West Broad St., Columbus, OH 43223. • For transportation-related Title VI matters, a complainant may file a complaint directly with the Federal Transit Administration by filing a complaint with the Office of Civil Rights, Attention: Title VI Program Coordinator, East Building, 5th Floor-TCR, 1200 New Jersey Ave., SE, Washington, DC 20590. • If information is needed in another language, contact (740) 286-5039
Section I: Name: Address: Telephone (Home): Telephone (Work): Email Address: Accessible Format Requirements? Large Print Audio Tape TDD Other Section II: Are you filing this complaint on your own behalf? Yes* No *If you answered “yes” to this question, go to Section III. If not, please supply the name and relationship of the person for whom you are complaining: Please explain why you have filed for a third party: Please confirm that you have obtained the permission of the aggrieved party if you are filing on behalf of a third party. Yes No Section IV Have you previously filed a Title VI complaint with this agency? Yes No Section V Have you filed this complaint with any other Federal, State, or local agency, or with any Federal or State court? [ ] Yes [ ] No If yes, check all that apply: [ ] Federal Agency: [ ] Federal Court [ ] State Agency [ ] State Court [ ] Local Agency Please provide information about a contact person at the agency/court where the complaint was filed. Name: Title: Agency: Address: Telephone: Section VI Name of agency complaint is against: Contact person: Title: Telephone number: You may attach any written materials or other information that you think is relevant to your complaint. Signature and date required below. _________________________________ ________________________ Signature Date Please submit this form in person at the address below, or mail this form to: Buckeye Community Services, Inc. Title VI Coordinator 220 Morton Street Jackson, OH 45640
