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Click ‘Get Form’ to open it in the editor.
Begin by filling out your personal information in Section 1. Include your first name, last name, address, and contact details. Ensure accuracy as this will be used for communication regarding your complaint.
In Section 2, provide details about the respondent agency or employer you are filing a complaint against. Include their address and contact number.
Section 3 asks for the most convenient time for the department to reach you. Fill this out to facilitate timely communication.
In Section 4, describe your area of concern clearly. If applicable, detail any discrimination experienced and include names of involved parties and witnesses.
Complete Sections 5 through 12 based on your situation, ensuring all relevant information is provided for a thorough review of your complaint.
Finally, sign and date the form in Section 13 to certify that all information is accurate before submitting it through our platform.

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