Get the free Discrimination Complaint Form - PennDOT Home

Housing — in renting, buying selling or getting a loan for a home ... PA law prohibits discrimination in employment based on race, color, age (40 and over), sex, ...

How to fill out discrimination complaint form

How to fill out discrimination complaint form

1. To fill out a discrimination complaint form, follow these steps:
2. Start by carefully reading the instructions provided on the form. Make sure you understand the purpose and requirements of the form.
3. Provide your personal information, including your name, address, contact information, and any other necessary details.
4. Clearly describe the discriminatory incident or behavior that you experienced. Include the date, time, location, and any relevant witnesses or evidence.
5. Specify the individuals or organizations involved in the discrimination, if known.
6. Describe the impact or harm caused by the discrimination, such as emotional distress, financial loss, or professional setbacks.
7. If applicable, provide details of any previous attempts to resolve the issue or seek help.
8. Attach any supporting documents or evidence, such as emails, photographs, or medical reports, that can help strengthen your complaint.
9. Review all the information you provided to ensure accuracy and completeness.
10. Sign and date the complaint form.
11. Follow the submission instructions provided with the form, whether it's mailing it to a specific address or submitting it online.
12. Remember to keep a copy of the completed form and any supporting documents for your records.

Who needs discrimination complaint form?

1. Anyone who has experienced discrimination and wants to file a formal complaint can use a discrimination complaint form. This form is typically used by individuals who believe they have been treated unfairly or differently based on their race, color, religion, sex, national origin, age, disability, or other protected characteristics. It can be used by employees, tenants, customers, students, and any person who has encountered discriminatory practices in various settings such as workplaces, housing, educational institutions, or public accommodations.

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