How to File a Self-Drafted Complaint

The following guidance will assist you in drafting and filing a complaint of discrimination with the Human Rights Bureau. Please note HRB serves as a neutral entity and does not advocate for either party. If you have additional questions, contact HRB at 800-542-0807.

Filing Deadline: A complaint of no more than 2 pages must be filed within 180 days after the alleged act of discrimination occurred or was discovered.

Form of Complaints: A complaint must contain, at a minimum, the following information:

1. Full name, mailing address, email address and telephone number of the person making the complaint, also birth year if complaint is an age discrimination complaint.
2. Full name, address and telephone number of the company against whom the complaint is made, also please state on your complaint if the company has over 15 employees.
3. A brief clear and concise statement of the facts, including pertinent dates, constituting the alleged unlawful discriminatory practice. Please include the protected class you believe to be the bases of the alleged discrimination: age, race, color, sex (including sexual harassment, pregnancy, sexual orientation and gender identity), national origin, religion, creed, disability, marital status, vaccination status, familial status (housing claims only), political belief (government claims only) and **retaliation.
   • **RETALIATION – for filing a charge of discrimination, for reasonably opposing discrimination, or for participating in a discrimination lawsuit, investigation, or proceeding.
4. The verified signature of the person making the Here is an example of a “verified signature” line:

EXAMPLE: I swear or affirm that I have read the above charge and I declare under penalty of perjury that the foregoing is true and correct.

Sign and date your complaint before sending to the Human Rights Bureau.