Color, national origin, religion, creed, age, disability, sex, gender identity, sexual orientation, 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and contact information in the designated fields. Ensure accuracy as this will be used for communication regarding your complaint.
3. In section 2, clearly indicate the basis of alleged discrimination by checking all applicable boxes related to color, national origin, religion, creed, age, disability, sex, gender identity, and sexual orientation.
4. Provide details about the incident including the date and location where the alleged discrimination occurred. This information is crucial for processing your complaint.
5. List any witnesses who can support your claim in section 4. Include their contact information for follow-up.
6. Indicate whether you have filed an informal complaint or wish to proceed directly to a formal complaint in section 5.
7. If applicable, provide details about any previous filings with government agencies or court actions in sections 6 and 8.
8. Finally, describe the discriminatory act and any corrective actions you seek in sections 9 and 10 before signing and dating the form.

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