Get Complaint Form - Nys Human Rights - New York State - Dhr Ny

Filing a complaint with the New York State Division of Human Rights is a crucial step in addressing discrimination. This guide will assist you in filling out the Complaint Form accurately and effectively, ensuring that your concerns are properly represented.

Follow the steps to complete your complaint form online.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by entering your contact information, including your name, address, city, state, and zip code. Be sure to provide accurate details to ensure the Division can reach you.
3. Indicate the area where you believe discrimination occurred by checking the appropriate box, such as employment or housing.
4. Write the name and address of the company or individual you are filing the complaint against. Include their telephone number.
5. Specify the date when the most recent act of discrimination occurred. Provide the month, day, and year.
6. If you are a domestic worker, complete the relevant section by answering specific questions that pertain to your situation.
7. In the basis of discrimination section, indicate the reasons for your complaint by checking one or more applicable boxes. Review the provided list to confirm that your reasons align with the Division's criteria.
8. Provide a detailed description of the incidents of discrimination you experienced. Clearly include dates, involved parties' names, and the context to illustrate your case.
9. After completing the form, ensure that you have it notarized, which may require visiting a location with notary services.
10. Attach any supporting documentation that may assist in the investigation of your complaint, such as pay stubs or termination letters.
11. Submit the completed form to the nearest regional office of the Division of Human Rights. It is advisable to keep copies of everything for your records.
12. Once submitted, you can save changes, download, print, or share the form as needed.

Take action today—complete your complaint form online.