Civil Rights Corner
In this corner:
DHS 2016 – 2019 Self Evaluation and Compliance Plan
September 2016 Transmittal ICF
Table of Contents
Executive Summary
Self Evaluation and Compliance Plan (Effective September 1, 2016)
- APPENDICES
Appendix A
Acts, Acronyms, and Definitions
Appendix B
DHS Policies and Procedures (4.10.1, 2, 3, and 4)
Appendix C
Sample Mission, Vision, Pledge, and Service Standards
Appendix D
Sample Publication and Form (Access Hawaii; Request for Auxiliary Aid)
Appendix E
Sample Translation (Tagalog; Chinese)
Appendix F
Sample Notifications and Description of Data Sources
Program Accessibility for Persons with Disabilities Notice
The Americans with Disabilities Act Prohibits Discrimination Notice
Nondiscrimination Notice
Notice of Due Process Standards
Appendix G
Discrimination Complaint Procedure (DHS 6000 and 6006)
Appendix H
Title VI Civil Rights compliance Checklist (Sample)
Appendix I
Title VI Coordinator Description
Appendix J
Related Resources and Sample Data Source Descriptions
HHS Finalizes Rule to Improve Health Equity Under the Affordable Care Act
(Section 1557 – Sex Discrimination) May 13, 2016
Sample Business Associate Agreement Provisions
Sample Data Source Descriptions
Affirmative Action Plan 2016-2019
DHS Policies and Procedures 2016 Updates
Mandatory Notices 2016
- Mandatory Notice Confirmation
- Access Hawaii Brochure (includes No cost Interpreter Services and Discrimination Complaint Notice)
- ADA Notice
- Breastfeeding in Public Accommodations Notice
- DIR Memo 16-01
- DIR Memo 16-02
- EEO and Supplement Genetic Information
- Employment Discrimination and Other Hawaii State Notices
- Fair Housing Notice
- Harassment Notice
- Justice for All Notice
- Non-Discrimination Multilingual Notices
- Notice of Interpreter Services at No Cost
- Equal Opportunity Notice
- Right to Time and Place to Express Breast Milk
- Your Rights Under USERRA
Forms and Brochures
DHS 5000 – Offer and Acceptance or Waiver of Free Interpreter Services
DHS 5050 – Interpreter Form and Code of Ethics
DHS 6000 Discrimination Complaint Form
DHS 6006 – Consent Release Form
DHS 6007 – Complaint Withdrawal Form
DHS 6008 – Auxiliary Aid Request Form
DHS RA-1 Request for Reasonable Accommodation for Employees and Applicants for Employment
These forms are available in the following languages in Word 2007 and PDF OCR format:
Resources
Training and Development Presentations
For alternate formats, call or email Geneva Watts at 586-4955; gwatts@dhs.hawaii.gov
- SNAP Program and FNS-113 – Civil Rights Awareness Training – ppt
- Civil Rights Awareness and Tools 2016 – ppt
Nondiscrimination
– Chinese (Mandarin or Cantonese)
– Chukese
– English
– Ilocano
– Samoan
– Spanish
– Tagalog
– Vietnamese
– Visayan