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CITY OF ROCK ISLAND HUMAN RIGHTS COMMISSION DISCRIMINATION COMPLAINT

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  2. CITY OF ROCK ISLAND HUMAN RIGHTS COMMISSION

  3. DISCRIMINATION COMPLAINT FORM

  4. COMPLAINANT INFORMATION (The complainant or the accused must reside or be located in Rock Island, IL)

  5. I believe that I have been discriminated against on the basis of:

  6. Name the party you believe discriminated against you (Person/Organization/Business)?

  7. Has a complaint been filed with any Federal, State of local investigative agency?

  8. If “Yes” then complete the following:

  9. I hereby affirm that the above information is true to the best of my knowledge:

  10. Questions call: 309.732.2999

  11. Filing a complaint with the Rock Island Human Rights Commission should not take the place of filing a complaint with the US Equal Employment Opportunity Commission, the Illinois Department of Human Rights or any other federal or state agency which may address issues of discrimination. The function of the Rock Island Human Rights Commission is to provide mediation. In order to preserve your legal rights and potential remedies under various federal and state statutes, the appropriate agency or private legal counsel should be contacted particularly regarding the timing of filing a complaint.

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