Discrimination Inquiry Form

SUBMITTING THIS FORM DOES NOT MEAN THAT A COMPLAINT HAS BEEN FILED WITH OUR OFFICE. YOU WILL BE CONTACTED WITHIN 2 BUSINESS DAYS AFTER WE RECEIVE YOUR INQUIRY FORM. FOR IMMEDIATE ASSISTANCE, PLEASE CONTACT THE ALACHUA COUNTY EQUAL OPPORTUNITY OFFICE AT 352-374-5275.

*First Name

*Last Name

Address This field is required

Home Phone Number

Cell Phone Number

Email address

Other Contact Method

Type of Complaint Required

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Is the Employer, Landlord, or Business located in Alachua County? Required

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Is the Employer, Landlord, or Business located in the City of Gainesville? Required

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*Where Did the Discrimination Take Place? This field is required

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Discrimination Complaints

Discrimination Inquiry Form