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Unlawful Discrimination/Harassment Complaint Form
Unlawful Discrimination/Harassment Complaint Form (Compacted)
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Grievance Details
Please give us as much detail as possible about your specific grievance.
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Incident(s)
Date the discriminatory action occurred
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I allege discrimination based on the following protected categories
Age
Ancestry
Color
Ethnic Group
Gender Expression
Gender Identification
Immigration Status
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National Origin
Physical/Mental Disability
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