Eforms state Formsds3079INFORMATION CONCERNING THE PROCESSING OF YOUR COMPLAINT 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out your personal information in the 'Complainant Contact/Personal Information' section. Include your name, contact details, and whether you are a U.S. citizen.
  3. Indicate if you have a representative or attorney by answering the relevant questions in the 'Representative/Attorney Information' section.
  4. In the 'Complaint Information' section, specify where and when the alleged discrimination occurred. Be thorough in explaining how you believe you were discriminated against.
  5. Check all applicable boxes regarding the basis of discrimination and provide detailed explanations as needed. Use additional sheets if necessary.
  6. Finally, review your entries for accuracy before signing and dating the form at the bottom.

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