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I want to file a complaint and would like: |
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A New Complaint |
| I would like to file a new complaint and would like DFEH to investigate. My complaint is about: | ||||||
PLEASE NOTE: Incomplete intakes (Complaints/RTS/PRAs not fully submitted) will expire after 10 days and it will be necessary to restart the filing process. |
Do you believe you were discriminated against, harassed or retaliated against because of one or more of the following protected classes:
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| Do you believe you were denied family care leave for yourself or a family member, denied pregnancy disability leave, retaliated against for protesting illegal discrimination or for reporting patient abuse in tax supported institutions? | ||
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| Are you filing a complaint against an employer in California or based in California? | ||
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| Have you filed a complaint in this matter with the U.S. Equal Employment Opportunity Commission (EEOC)? | ||
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| Are you filing a complaint against a federal government entity? | ||
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| Are you filing a complaint against a religious non-profit entity? | ||
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| Does the employer have at least 5 employees, or, if your issue involves harassment, at least 1 employee? You may count part-time and full-time employees or "any person acting as an agent of an employer, directly or indirectly" at any location. | ||
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| When was the first date that you were discriminated, harassed or retaliated against? | |
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| Does your employer have 15 or more employees? | ||
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| Did the discrimination, harassment or retaliation happen because of your sexual orientation or marital status? | ||
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| When was the last date that you were discriminated, harassed or retaliated against? | |
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| Were you under the age of 18 when the discrimination, harassment and/or retaliation occurred? | ||
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| Do you believe you were discriminated against, harassed or retaliated against because of one or more of the following protected classes: race, color, religion, sex, sexual orientation, marital status, national origin/ancestry, familial status (pregnancy or children in the household), source of income, age, sexual identity, sexual expression, and/or disability? | ||
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| Did the alleged discrimination or harassment occur in California? | ||
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| Have you filed a complaint in this matter with the U.S. Department of Housing and Urban Development (HUD)? | ||
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| What was the most recent date that violation occured? | |
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| Were you under the age of 18 when the discrimination, harassment and/or retaliation occurred? | ||
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| Do you believe this involves an act of violence or threat of violence based on one of the following protected classes: race, color, religion, ancestry, national origin, sex, sexual orientation, age, disability, medical condition, marital status, political affiliation or position in labor dispute? | ||
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| What was the most recent date that the violation occurred? | |
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| Do you believe this involves an act of discrimination in services based on one or more of the following protected classes: race, color, religion, ancestry, national origin, sex, sexual orientation, medical condition, disability and/or marital status? | ||
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| What was the most recent date that the violation occurred? | |
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| Do you believe this act was based on your disability or because you are an authorized trainer of a guide, signal, or service dog? | ||
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Public Records Request |
| Are you requesting records that are complaint related? | ||
PLEASE NOTE: Incomplete intakes (Complaints/RTS/PRAs not fully submitted) will expire after 10 days and it will be necessary to restart the filing process. |
| Are you requesting records for a complaint that is currently under investigation? | ||
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I understand and have reviewed:
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| First Name: | |
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| Phone: | |
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| Password: | |
| Confirm Password: | |
| Please DO NOT click the Submit or Sign Up button more than once. | |
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Account Registration |
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