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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/118 KB)

ERD-10241 (Print Version - pdf/18 KB)

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