NOTICE: COMPLETION OF THIS FORM DOES NOT CONSTITUTE FILING A CHARGE. YOU MUST COME INTO ONE OF OUR OFFICES TO COMPLETE THE PROCESS.

Use this form to start the charge filing process, or to submit pertinent information about your open case. You can download this form and save it to your own computer. Complete the front portion and select the “questionnaires” that apply to you. You can submit the completed form online. We can also accept the completed form at one of our offices, or by mail to:

Once we review the completed form, we will contact you to schedule an appointment to complete the process.

Discrimination Intake Form

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Related Topics:  Age Discrimination, Anti-Discrimination, Delaware Discrimination in Employment Act (DDEA), Disability Discrimination, Forms, Gender Based Discrimination, Handicapped Persons Employment Protection Act (HPEPA), Industrial Affairs, National Origin Discrimination, Pregnancy Discrimination, Racial Discrimination, Religious Discrimination, Sexual Harassment, Sexual Orientation Based Discrimination