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

This field is required

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

This field is required

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

This field is required

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

Discrimination Complaints

Discrimination Inquiry Form