Discrimination complaint form - Ohio Department of Job and 2026

1. Click ‘Get Form’ to open the discrimination complaint form in our editor.
2. Begin by entering your name in the designated fields for Last Name, First Name, and Middle Initial. Ensure accuracy as this information is crucial for identification.
3. Fill in your home address, including the street number, city, and zip code. This helps establish your residency.
4. Provide your work phone number and home phone number in the specified formats to ensure you can be contacted easily.
5. Indicate the basis of discrimination by checking the appropriate boxes under section 4a. Choose from options like Race, Sex, Disability, etc.
6. In section 4b, select the program or services area relevant to your complaint from the provided list.
7. Complete sections 6 through 10 by providing details about your ethnicity, sex, agency involved, and location where the discrimination occurred.
8. In section 13, explain why you believe you were discriminated against. You may attach additional sheets if necessary.
9. Finally, sign and date the form in sections 14 and 15 before submitting it through our platform for a streamlined process.

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