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ACTION: RevisedDATE: 11/28/2012 1:05 PMRule Summary and Fiscal Analysis (Part A) Department of Job and Family Services Agency NameDivision of Public AssistanceMike LynchDivisionContact30 E. Broad
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01
Obtain the discrimination complaint form from the relevant agency or organization.
02
Carefully read the form instructions and ensure you understand the information required.
03
Fill out your personal information, including your name, address, and contact details.
04
Provide detailed information about the incident of discrimination, including dates, times, locations, and the individuals involved.
05
Include any evidence you may have, such as emails, photographs, or witness statements.
06
Clearly state how you believe you were discriminated against, referencing specific policies or laws if possible.
07
Review the completed form for accuracy and completeness before submitting it.
08
Keep a copy of the form for your records.

Who needs discrimination is against form?

01
Individuals who believe they have experienced discrimination in areas such as employment, housing, education, or public services.
02
Advocates and representatives helping individuals file discrimination complaints.
03
Organizations engaged in civil rights and advocacy that assist those facing discrimination.
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The discrimination is against form is a legal document used to report and address acts of discrimination based on race, gender, age, disability, or other protected characteristics.
Individuals who believe they have been subjected to discrimination in areas such as employment, housing, or public services are required to file the discrimination is against form.
To fill out the discrimination is against form, provide your personal information, details about the discriminatory act, the parties involved, and any relevant evidence or documentation.
The purpose of the discrimination is against form is to formally document instances of discrimination and initiate an investigation by the appropriate authorities.
The form must include personal details of the complainant, descriptions of the discriminatory acts, witnesses (if any), and any supporting evidence.
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