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ADA COMPLAINT FORM Name: Address: City:State:Home Phone Number:Zip Code: Cell Number: Person discriminated against: Address of person discriminated against (if other than you): City: State: Zip Code:
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Step 1: Begin by gathering all the necessary information about the person who has been discriminated against.
02
Step 2: Start by filling out the personal details of the person such as their full name, address, contact information, and date of birth.
03
Step 3: Provide a brief description of the discrimination incident, including the date, location, and details of what occurred.
04
Step 4: Specify the basis of discrimination, whether it is related to race, gender, religion, disability, or any other protected characteristic.
05
Step 5: Include any supporting evidence or documentation that can strengthen the discrimination claim, such as witness statements, photographs, or records.
06
Step 6: Indicate whether any previous complaints or legal actions have been taken regarding the discrimination incident.
07
Step 7: Sign and date the form to verify its authenticity and completeness.
08
Step 8: Submit the filled-out form to the appropriate authority or organization responsible for addressing discrimination cases.

Who needs person discriminated against?

01
Anyone who has been a victim of discrimination can use the person discriminated against form to document and report their experience.
02
Legal professionals, human rights organizations, and anti-discrimination agencies may also require this form to assist individuals in filing their complaints.
03
Employers, educational institutions, and other entities responsible for investigating and addressing discrimination claims might also need this form to initiate the process.
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Person discriminated against refers to an individual who has been treated unfairly or unequally based on certain characteristics such as race, gender, religion, etc.
The person who has been discriminated against or their legal representative is required to file a complaint.
To fill out a complaint of discrimination, one must provide details of the discriminatory behavior, the individuals involved, and any supporting evidence.
The purpose of filing a complaint of discrimination is to seek justice, address the discriminatory behavior, and ensure fair treatment for all individuals.
The report must include the details of the discriminatory incident, the individuals or organizations involved, and any evidence or witnesses supporting the claim.
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