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 required This field is required

Last Name required This field is required

Address This field is required

Home Phone Number This field is required

Cell Phone Number This field is required

Email address This field is required

Other Contact Method This field is required

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? required This field is required

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Discrimination Inquiry Form