If you believe that you have been discriminated against, you may file a civil rights complaint form.
What is your name?
What is your age?
What is your address?
What is your phone number?
What is your email address?
What is the nature of your complaint?
When did the alleged incident(s) occur?
Where did the alleged incident(s) occur?
Who was involved in the alleged incident(s)?
What evidence do you have to support your complaint?