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  2. Forms Repository
  3. ERD-10241-E, Discrimination Complaint - Public Accommodation or Amusement

Discrimination Complaint - Public Accommodation or Amusement

Document Number: ERD-10241-E

Description: This form should be used to file a Public Accommodation or Amusement Complaint.

Comments: This form must be notarized.

Content Contact: Equal Rights Information

Document Attachments:

ERD-10241-E (Electronic Version - Word/133 KB)

ERD-10241 (Print Version - pdf/158 KB)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.

Contact Information

For questions about this form, or if you need this form in an alternate format, please see the Content Contact (listed to the left)

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