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Click ‘Get Form’ to open the NYS DEOD complaint form in the editor.
Begin by filling out your personal information in Section 1. Include your first name, middle initial, last name, address, city, state, zip code, social security number, and contact numbers.
In Section 2, provide details about the respondent. This includes their name and contact information.
Section 4 requires a detailed description of your complaint. Clearly outline what happened, who was involved, when it occurred, and how you were treated differently.
If applicable, complete Sections 8 through 12 regarding discrimination specifics and any previous complaints filed.
Finally, ensure you sign and date Section 13 to certify the accuracy of your information before submitting the form.
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