Unemployed Anti-Discrimination Intake Questionnaire - Office Of Human Rights Page 2
Download a blank fillable Unemployed Anti-Discrimination Intake Questionnaire - Office Of Human Rights in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Unemployed Anti-Discrimination Intake Questionnaire - Office Of Human Rights with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Incident Details
(only complete this section if alleging discrimination based on unemployment)
Application/Interview Date:
Position applied for:
Person who referenced
your unemployment:
Job Title:
Additional Information About the Incident
Describe in detail the incident that led you to file a complaint of discrimination or retaliation.
How did you find out about the Office of Human Rights ?
Family or Friend
DC Government or 311
Community Organization
OHR Advertisement
OHR Social Media
OHR Brochure or Flyer
Lawyer/Legal Clinic
OHR Website or Internet
Event or Training
Other:
Signature
Complainant Signature:
(type initials if a digital submission)
Date:
Please return this form by mail or in-person to 441 4th Street NW, Suite 570N, Washington DC, 20001 or by email to ohr.intake@dc.gov.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal