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STATE OF CALIFORNIA DEPARTMENT OF REHABILITATION FORMAL COMPLAINT OF DISCRIMINATION DR 135 (Rev. 05/99) Complainant's Name SectionDistrictBranch Job Title/Classification Location Type of Discrimination
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How to fill out a DR135 formal complaint form:

01
Start by reading the instructions: Before filling out the DR135 formal complaint form, make sure you carefully read and understand the provided instructions. Familiarize yourself with the purpose of the form and the required information.
02
Gather necessary information: Before you start filling out the form, gather all the essential information you will need to complete it accurately. This may include personal details, such as your name, address, phone number, and email.
03
Identify the recipient: Determine who the complaint is being made against and accurately identify the recipient's details. This may include the name, position, company or organization, and contact information of the individual or entity you are complaining about.
04
Provide a brief summary: Begin the complaint form by providing a concise summary of the issue or incident you are complaining about. Use clear and specific language to ensure your complaint is easily understood.
05
Describe the incident in detail: Provide a detailed description of the incident or issue that led to your complaint. Be as specific and factual as possible, including relevant dates, times, locations, and any witnesses involved. Use clear and concise language to convey your concerns.
06
Attach supporting evidence: If you have any supporting evidence, such as documents, photographs, or videos, make sure to attach them to the complaint form. Supporting evidence can strengthen your case and provide additional context for your complaint.
07
State desired resolution: Clearly articulate what you expect as a resolution to your complaint. Whether it's an apology, compensation, corrective action, or any other form of resolution, state it clearly and concisely.
08
Review and sign the form: Before submitting your complaint, review the entire form for accuracy and completeness. Make any necessary corrections or additions. Once you are confident that the information is accurate, sign and date the form.

Who needs a DR135 formal complaint form:

A DR135 formal complaint form may be required by individuals or organizations who have experienced an issue or incident with another party, such as a company, individual, or government entity. It is necessary for those seeking to document and address their grievances formally.
By using the DR135 formal complaint form, individuals can ensure that their complaint is recorded accurately, providing a basis for further investigation or resolution of the issue.
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dr135 formal complaint is regarding discrimination.
Anyone who has experienced discrimination can file a dr135 formal complaint.
To fill out a dr135 formal complaint, one must provide details of the discrimination incident and submit it through the proper channels.
The purpose of dr135 formal complaint is to address and rectify instances of discrimination.
Information such as date, time, location of the incident, names of individuals involved, and details of the discrimination must be reported on dr135 formal complaint.
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