Get the free Discrimination Complaint Form - Division of Human Rights - NY.gov
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DISCRIMINATION/HARASSMENT COMPLAINT FORM This form is to be used to file a complaint of discrimination based on race, color, religion, national origin, age, sex (including pregnancy), disability,
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How to fill out discrimination complaint form
How to fill out discrimination complaint form
01
Obtain a discrimination complaint form from the appropriate government agency or organization. This can usually be done online or by contacting the agency directly.
02
Read the instructions carefully to understand the requirements and process for filling out the form.
03
Provide your personal information, including your name, contact details, and any identifying information relevant to the discrimination case.
04
Clearly state the nature of the discrimination you experienced or witnessed. Provide detailed information about the incidents, dates, locations, and individuals involved.
05
Include any supporting evidence, such as documents, photographs, or witness statements, that can strengthen your complaint.
06
Explain how the discrimination has affected you or others personally, emotionally, or professionally.
07
Review and double-check all the information to ensure accuracy and completeness.
08
Sign and date the form to validate your submission.
09
Submit the complaint form to the appropriate government agency or organization either online, in person, or by mail as instructed.
10
Keep a copy of the completed form for your records and note any confirmation or tracking numbers provided by the agency.
Who needs discrimination complaint form?
01
Anyone who has experienced or witnessed discrimination in various contexts, such as employment, housing, public services, education, or public accommodations, may need to fill out a discrimination complaint form.
02
These forms are typically required by government agencies, civil rights organizations, or other entities that handle and investigate discrimination cases.
03
Individuals who believe their rights have been violated and wish to seek legal or administrative remedies for discrimination can use these forms to initiate the complaint process.
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