Get Ny Complaint Form 2016-2026

Filing a complaint is an important step in addressing discrimination. This guide provides a clear and supportive approach to completing the NY Complaint Form online, ensuring that users can effectively communicate their experiences.

Follow the steps to complete your complaint form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing your contact information. Fill in your name, address, city, state, zip code, and any applicable apartment or floor number. This information will help the Division of Human Rights to reach you.
3. Indicate the area in which you believe you faced discrimination by checking applicable boxes such as employment, education, housing, etc.
4. Enter the name and address of the company or individual you are filing the complaint against. Include their telephone number for better communication.
5. Specify the date of the most recent discriminatory act, ensuring that the month, day, and year are clearly indicated.
6. If you identify as a domestic worker, answer the questions related to your employment situation and any specific acts of discrimination you experienced within that context.
7. Detail the basis of discrimination by checking relevant boxes. Take note to only check those that truly apply to your experience.
8. For employment or internship discrimination, provide information on the number of employees at the company and your employment status or job title.
9. Indicate the acts of discrimination that occurred by checking all relevant boxes. This includes actions such as being fired, denied benefits, or receiving harassment.
10. In the description section, provide a detailed account of the discriminatory acts, including names, dates, and the specific reasons for your complaint.
11. Once completed, print the form. Note that you will need to have it notarized before submission. Contact the office for assistance with notarization if needed.
12. Attach any supporting documents that may strengthen your complaint, such as pay stubs, letters of termination, or evaluations.
13. Submit the original, signed, and notarized form to the closest regional office, either by mail or in person, and keep a copy for your records.

Start filling out your complaint form online today to take the first step in addressing discrimination.