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Click ‘Get Form’ to open the nj complaint discrimination document in the editor.
Begin by entering your name in the designated fields, ensuring you include your last, first, and middle names.
Fill in your Social Security Number and complete home address, making sure to avoid using a P.O. Box.
Provide your daytime telephone number and check the appropriate box under 'Nature of Complaint' to indicate whether you feel discriminated against for filing a claim or for testimony.
If applicable, complete items #12 through #20 if you checked box ‘a’. This includes details about your employer’s insurance carrier and any claims filed.
For those who checked box ‘b’, fill out items #21 through #26 regarding testimony in a workers’ compensation case.
Finally, ensure that all relevant evidence supporting your allegation is attached before signing and notarizing the complaint.

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What is the NJ law against discrimination?

All persons shall have the opportunity to obtain employment, and to obtain all the accommodations, advantages, facilities, and privileges of any place of public accommodation, publicly assisted housing accommodation, and other real property without discrimination because of race, creed, color, national origin, ancestry

Who do I complain to about discrimination?

If you have experienced discrimination, you can get help from the EASS discrimination helpline. The EASS has also published template letters which you may find useful when complaining about discrimination. They are available from the EASS website at .equalityadvisoryservice.com.

How do I report discrimination in NJ?

2. Complaints of prohibited discrimination/harassment can be reported to (Name of State agencys EEO/AA Officer), the EEO/AA Officer, to any supervisory employee of the State agency, or through the States Hotline (833-691-0404). Complaints may also be reported to (Name of authorized designee).

How to write a complaint about discrimination?

Explain as clearly as possible what happened, why you believe it happened, and how you were discriminated against. Please include how other persons were treated differently from you, if applicable. If you were denied a benefit or service, please provide a copy of the denial letter.

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