Office for Civil Rights Consent Form - French (PDF) - www2 ed 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields, including your first name, address, city, state, and phone number. Ensure accuracy for effective communication.
3. Identify a secondary contact if you are unreachable. Fill in their name and phone number to facilitate follow-up.
4. Indicate who experienced the discriminatory act by checking the appropriate boxes. If it was someone else, provide their details as requested.
5. Specify the institution involved in the discrimination. Include its name and address, and indicate if you have attempted to resolve this issue through other channels.
6. Describe the discriminatory act thoroughly. Detail each incident with dates, names of individuals involved, and any witnesses present.
7. Complete the consent section by signing and dating where indicated. Choose whether you consent to disclose your identity during the investigation.

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