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COMPLAINT FORM EQUAL OPPORTUNITY DISCRIMINATION AND/OR DISCRIMINATION DUE TO DISABILITIES UNDER THE FEDERAL CIVIL RIGHTS ACT OF 1964 AND THE ASSOCIATED AMENDMENTS (PLEASE TYPE OR PRINT CLEARLY)Individuals
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Obtain a copy of the non discrimination complaint form from the appropriate government agency or organization.
02
Read the instructions carefully to understand what information is required to be filled out.
03
Provide your personal information such as name, address, contact details, and any other required identification information.
04
Clearly describe the nature of the discrimination you experienced, including dates, times, and any witnesses if applicable.
05
Attach any supporting documentation that can help validate your claim, such as emails, letters, or photographs.
06
Sign and date the complaint form before submitting it to the appropriate authority.

Who needs non discrimination complaint form?

01
Individuals who have experienced discrimination based on protected characteristics such as race, gender, age, religion, disability, or sexual orientation may need to fill out a non discrimination complaint form.
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A non-discrimination complaint form is a document that individuals use to report incidents of discrimination based on race, color, national origin, sex, disability, or age in programs or activities that receive federal financial assistance.
Any individual or group who believes they have been subjected to discrimination in programs or activities receiving federal funding is required to file a non-discrimination complaint form.
To fill out a non-discrimination complaint form, provide your personal information, describe the incident of discrimination, include any relevant dates, provide the names of individuals involved, and submit any supporting documentation.
The purpose of the non-discrimination complaint form is to formally document claims of discrimination and initiate an investigation into the claims made against programs or activities that receive federal funding.
The form typically requires details such as the complainant's contact information, a description of the discriminatory act, the name of the organization or program involved, and any witnesses to the incident.
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