Form 13325
(Rev. 11-2013)
Department of the Treasury – Internal Revenue Service
Statement of Assurance Concerning Civil
Rights Compliance for Internal Revenue
Service SPEC Partnerships
Catalog Number 34842Q www.irs.gov
Form 13325 (Rev. 11-2013)
Organization Name Phone Number
Address
City State Zip Code
The organization referenced above agrees to fulfill the obligations set forth in this
assurance in consideration of and for the purpose of obtaining federal property or other
federal financial assistance from the Internal Revenue Service. The “Partner” agrees that
it must comply with applicable provisions of federal laws and policies prohibiting
discrimination, including but not limited to those detailed in paragraph 1.
1. Title VI of the Civil Rights Act of 1964 (Pub L. 88-352), as amended, which
prohibits discrimination on the basis of race, color, or national origin; Section 504
and 508 of the Rehabilitation Act of 1973 (Pub L. 93-112) as amended which
prohibits discrimination on the basis of disability; Title IX of the Education
Amendments of 1972 (Pub L. 92-318), as amended, which prohibits
discrimination on the basis of sex in education programs or activities; and the Age
Discrimination Act of 1975 (Pub L. 94-135), as amended, which prohibits
discrimination on the basis of age; in accordance with those laws and the
implementing regulations.
As clarified by Executive Order 13166, Improving Access to Services for
Persons with Limited English Proficiency, national origin discrimination
includes discrimination on the basis of limited English proficiency (LEP). To ensure
compliance with Title VI, the “Partner” and its “Sub-Recipients” must take
reasonable steps to ensure that LEP persons have meaningful access to its
programs in accordance with Department of Treasury implementing regulations
and Department of Justice LEP Policy Guidance. Meaningful access may entail
providing language assistance services, including oral and written translation,
where necessary. The Partner and Sub-Recipients are encouraged to consider the
need for language services for LEP persons served or encountered both in
developing budgets and in conducting programs and activities. Assistance and
information regarding LEP obligations may be found at http://www.lep.gov or by
contacting the IRS Civil Rights Division as indicated on this form.
2. The Partner will conduct its activities so that no person is excluded from
participation in, is denied the benefits of, or is subject to discrimination, as
prohibited by the statutes identified in paragraph 1, in the distribution of services
and/or benefits provided under this federal financial assistance program.
3. To compile and submit information to the Internal Revenue Service (IRS) Civil
Rights Division concerning its compliance with Title VI of the Civil Rights Act of
1964 (Pub L. 88-352), as amended, Section 504 and 508 of the Rehabilitation Act
of 1973 (Pub L. 93-112), as amended, Title IX of the Education Amendments of
1972 (Pub L. 92-318), as amended, and the Age Discrimination Act of 1975 (Pub
L. 94-135), as amended, in accordance with those laws and the implementing
regulations. All civil rights assurances signed by sub-recipients will be submitted
and maintained by its “Partner”.
Form 13325
(Rev. 11-2013)
Department of the Treasury – Internal Revenue Service
Statement of Assurance Concerning Civil
Rights Compliance for Internal Revenue
Service SPEC Partnerships
Catalog Number 34842Q www.irs.gov
Form 13325 (Rev. 11-2013)
4. Within 30 days of any finding issued by a federal or state court or by a federal or
state administrative agency that the “Partner” has discriminated on the basis of
race, color, national origin (including limited English proficiency), disability, sex (in
education programs or activities), or age in the delivery of its services or benefits,
a copy of such finding shall be forwarded to the IRS Civil Rights Division at the
following address:
Operations Director, Civil Rights Division
Internal Revenue Service
Room 2413
1111 Constitution Avenue, NW
Washington, D.C. 20224
5. To inform the public that persons who believe they have been discriminated
against on the basis of race, color, national origin (including limited English
proficiency), disability, sex (in education programs or activities), or age, in the
distribution of services and benefits resulting from this federal financial assistance
program may file a complaint with the Director, Civil Rights Division, at the above
address. Civil Rights posters indicating the process for filing complaints of
discrimination for the public must be conspicuously displayed at all times at each
“Partner’s” location, as well as by its sub-recipients.
6. To forward to the Civil Rights Division for investigation, all complaints of
discrimination filed by the public against the “Partner” that is directly related to the
services and/or benefits provided by this IRS federal financial assistance program.
The partner and sub-recipients, its successors, transferees and assignees, upon the
breach or violation of this agreement, the IRS may, at its option: a) Terminate or refuse to
render or continue federal financial assistance for the aid of the property, facility, project,
service, or activity, b) Enforce this agreement by suit for specific performance or by any
other available remedy under the laws of the United States or the state in which the
breach or violation occurs.
Partners and sub-recipients receiving federal financial assistance shall be obligated to
comply with this assurance for a period not to exceed one year from the date signed.
Each subsequent receipt of federal financial assistance will require a new signed
assurance form.
The organizational official whose signature appears below is authorized to sign this
assurance and commit the “Partner” to the above provisions.
NAME AND TITLE OF AUTHORIZED ORGANIZATIONAL OFFICIAL
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SIGNATURE OF AUTHORIZED ORGANIZATIONAL OFFICIAL DATE
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