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Civil Rights Forms

Equal Employment Opportunities (EEO) Program (Title VII)

for: Current Employees or Applicants.

Complaints may be made by current employees, applicants or as a third party on behalf of another individual. If you would prefer to submit a complaint anonymously please write Anonymous in the “Employee/Applicant Name” text box below. If you are submitting a complaint on some else’s behalf be sure to complete the last section of the form at the bottom of the page.

Please provide as much information as possible.

What was the discrimination based upon? (Check all that apply)






Please provide witness contact information (if any).

Witness 1
Witness 2

Third Party Contact Info

Does the employee/applicant know you are submitting a complaint on their behalf?

If you would like to remain anonymous, please skip the section below.