IOWA CIVIL RIGHTS COMMISSION

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How to Report Discrimination

If you wish to explore the possibility of filing a complaint with the Iowa Civil Rights Commission please call 1-800-457-4416 ext. 914430 or ext. 914437 (or 515-281-4121) between the hours of 8:00 a.m. and 4:30 p.m. Monday through Friday. If you do not wish to file a complaint with us but would like to report an incident of discrimination please fill out the form below.

Enter your information. Please note - The information you provide to the Commission on this form is confidential. If you want us to call, write or e-mail you about this report on discrimination, please list your contact information. If you do not include your address, phone or email address, the Commission will be unable to contact you to provide you information about your rights under the Iowa Civil Rights Act.

Your Name: Time to Call: Daytime Phone No:
Your Address: Evening Phone No:
City: State: Zip Code:
Your Email Address:

Enter complaint information.

  1. What happened to you?
    How were you discriminated against?
    For example: were you fired?
    Denied a job?
    Where you refused an opportunity to rent or buy housing?
    Denied a loan?
    State briefly what happened.


  2. Why do you believe you were discriminated against?

     


  3. Who do you believe discriminated against you?
    Name:
    Address:

     



  4. When did the last act of discrimination occur? Enter the date: (mm/dd/yyyy)

This is not a legal complaint. It is simply an informal report to the Iowa Civil Rights Commission.  To file a formal complaint you will need to fill out the complaint form, print it off, sign and date it, and deliver it to our office in person, by mail, or by FAX. If you wish to explore the possibility of filing a complaint with the Iowa Civil Rights Commission please call 1-800-457-4416 ext. 14430 or ext. 14437 (or 515-281-4121) between the hours of 8:00 a.m. and 4:30 p.m. Monday through Friday.