Get the free Public Accommodations Discrimination Intake Form - phila

This form allows individuals to begin the process of filing a discrimination complaint related to public accommodations in Philadelphia, detailing reasons for discrimination and required information

How to fill out public accommodations discrimination intake

How to fill out Public Accommodations Discrimination Intake Form

1. Obtain the Public Accommodations Discrimination Intake Form from the appropriate agency or website.
2. Read the instructions provided at the top of the form to understand what information is required.
3. Fill out your personal information including your name, contact details, and preferred method of communication.
4. Provide the details of the public accommodation where the discrimination occurred, including the name, address, and type of business.
5. Describe the incident of discrimination clearly, including the date, time, and specific actions that were discriminatory.
6. List any witnesses to the incident who may provide further information if necessary.
7. Attach any relevant documents or evidence that support your claim, such as photographs or communications.
8. Review your completed form for accuracy and completeness before submission.
9. Submit the form to the designated agency or department, following the provided submission guidelines.

Who needs Public Accommodations Discrimination Intake Form?

1. Individuals who have experienced discrimination while using public accommodations, such as businesses, restaurants, hotels, and other service providers.
2. People seeking to report and address incidents of discriminatory practices based on race, color, national origin, sex, disability, or religion in public spaces.
3. Advocates or representatives of individuals who may need assistance in lodging a formal complaint regarding public accommodations discrimination.

For pdfFiller’s FAQs

What is Public Accommodations Discrimination Intake Form?

The Public Accommodations Discrimination Intake Form is a document used to report instances of discrimination that occur in public accommodations, such as restaurants, hotels, and theaters, as prohibited by civil rights laws.

Who is required to file Public Accommodations Discrimination Intake Form?

Individuals who have experienced discrimination based on race, color, religion, sex, national origin, disability, or other protected characteristics in public accommodations are required to file this form.

How to fill out Public Accommodations Discrimination Intake Form?

To fill out the Public Accommodations Discrimination Intake Form, individuals need to provide their personal information, details about the discrimination incident, including date, location, and the nature of discrimination, as well as any evidence supporting their claim.

What is the purpose of Public Accommodations Discrimination Intake Form?

The purpose of the Public Accommodations Discrimination Intake Form is to formally document instances of discrimination, to initiate the investigation process, and to enable the enforcement of civil rights protections.

What information must be reported on Public Accommodations Discrimination Intake Form?

Information that must be reported includes the complainant's contact details, the type of discrimination experienced, specific details about the incident, names and contact information of any witnesses, and any relevant documentation or evidence.