Department of Justice Civil Rights Complaint Form
This file provides a comprehensive guide for filing a complaint with the Federal Coordination and Compliance Section of the DOJ. It details the investigatory uses of personal information and the rights of complainants. Users can understand their protections under civil rights laws and how to report discrimination effectively.
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How do I fill this out?
Filling out the form is easy and straightforward. Begin by providing your name and contact details. Then, complete the sections related to the individual discriminated against and describe the nature of your complaint.

How to fill out the Department of Justice Civil Rights Complaint Form?
1
Provide your name and contact information.
2
Identify the person who experienced discrimination.
3
Specify the agency and program involved.
4
Detail the basis of discrimination, if applicable.
5
Submit the completed form to the appropriate department.
Who needs the Department of Justice Civil Rights Complaint Form?
1
Individuals experiencing discrimination who want to file a complaint.
2
Organizations advocating for civil rights on behalf of clients.
3
Lawyers representing clients in discrimination cases.
4
Employees seeking to understand their rights during an investigation.
5
Government agencies needing to address complaints against funded recipients.
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What are the instructions for submitting this form?
To submit the complaint form, you may email it to the appropriate DOJ office or fax it directly at the provided number. Alternatively, you can mail the completed form to the Federal Coordination and Compliance Section at 950 Pennsylvania Ave, NW, Washington, DC 20530. Make sure to include all necessary details and retain a copy for your records.
What are the important dates for this form in 2024 and 2025?
Currently, there are no specific important dates noted for the DOJ Complaint Form. However, individuals should be aware of the deadlines for reporting discrimination to ensure timely action. Check regularly for any updates or changes relevant to the filing process.

What is the purpose of this form?
The purpose of this form is to facilitate the reporting of discrimination complaints to the Department of Justice. It serves as a means for individuals to assert their rights under federal civil rights laws. By filing a complaint, individuals help to uphold the principles of justice and equality in federally funded programs.

Tell me about this form and its components and fields line-by-line.

- 1. Your Name and Address: Personal contact information of the complainant.
- 2. Person(s) Discriminated Against: Details of the individual who faced discrimination.
- 3. Agency/Program Involved: Information regarding the entity responsible for the discrimination.
- 4. Nature of Discrimination: Basis for the discrimination complaint, such as race, age, or disability.
What happens if I fail to submit this form?
If you fail to submit this form, your complaint may not be addressed, leaving you without the remedies you seek. Additionally, lack of submission can hinder the DOJ’s ability to take necessary action against discriminatory practices. It is crucial to file a complaint to ensure your rights are protected.
- No Legal Recourse: You may lose the opportunity to seek justice for the discrimination faced.
- Increased Discrimination: Without reporting, discriminatory practices may continue unchecked.
- Failure to Impact Change: Your voice will not contribute towards eradicating discrimination.
How do I know when to use this form?

- 1. Experiencing Discrimination: File a complaint if you have faced discriminatory actions.
- 2. Advocating for Others: Use this form to help someone else report their discrimination.
- 3. Seeking Legal Action: When preparing for potential legal recourse against discriminators.
Frequently Asked Questions
What is the purpose of this complaint form?
The complaint form assists individuals in filing an official complaint regarding discrimination.
Who should use this form?
Anyone who has experienced discrimination in a state or federal funded program.
How do I submit the completed form?
You can submit the form via mail, fax, or online to the designated department.
Can I edit this PDF document?
Yes, you can easily edit the PDF using PrintFriendly's tools.
What happens after I submit my complaint?
The DOJ will review your complaint and take appropriate action based on their findings.
Do I need an attorney to fill out this form?
No, individuals can fill out the form without legal assistance.
Is there a deadline to submit the complaint?
Yes, ensure timely submission according to DOJ guidelines.
Can I remain anonymous when filing a complaint?
While you can submit a complaint without personal details, providing information can facilitate the investigation.
What types of discrimination does this form cover?
It covers discrimination based on race, color, national origin, sex, disability, religion, and more.
Is there a charge for filing a complaint?
No, there is no fee to file a complaint with the DOJ.
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