132U-300-140 - Other discrimination complaint options

132U-300-140. Other discrimination complaint options

Discrimination complaints may also be filed with the following federal and state agencies:

Washington State Human Rights Commission at http://www.hum.wa.gov/

U.S. Dept. of Education Office for Civil Rights at http://www2.ed.gov/about/offices/list/ocr/index.html

Equal Employment Opportunity Commission at http://www.eeoc.gov/

Discrimination/Harassment Complaint Form

This form is designed to assist you with filing a discrimination and/or harassment complaint. Please write clearly and focus on the alleged discriminatory and/or harassing conduct. The complaint should include as much information regarding the incident giving rise to the complaint as possible, including the location, date and time of the alleged incident(s); the name of the individual or group whom the complaint is against, if known; a description of the incident(s); and the remedy sought.

Name of person filing the complaint: ____________________________________ Date: _______________________

Signature: __________________________________________________________ Date: _______________________

You may use the back side of this sheet if needed. Please return this form to the Title IX/EEO coordinator, LDC 235.

(Adopted by WSR 18-17-025, Filed 8/6/2018, effective 9/6/2018)