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- Next, complete the 'INFORMATION ABOUT YOUR REPRESENTATIVE' section if applicable. Indicate whether your representative is an attorney and provide their contact information.
- In the 'INFORMATION ABOUT THE COMPLAINT' section, specify where the alleged discrimination occurred. Clearly describe the actions or policies you believe were discriminatory, including relevant dates and details.
- Indicate the reasons for your complaint by checking appropriate boxes and providing specific details related to race, age, or other factors.
- Finally, sign and date the form. If you have a representative, they may sign on your behalf if they are an attorney.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2008 | 4.8 Satisfied (241 Votes) |
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