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Document Number: ERD-4206-E
Description: This form should be used to file a Fair Employment Complaint.
Comments: This form is used to file all discrimination complaints, except Housing and Public Accommodation or Amusement complaints.
Content Contact: Equal Rights Information
ERD-4206-E (English Electronic Version - Word/159 KB)
ERD-4206 (English Print Version - pdf/63 KB)
ERD-4206-E-S (Spanish Electronic Version - Word/174 KB)
ERD-4206-S (Spanish Print Version - pdf/183 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.