U.S. Department of Education, Office for Civil Rights Complaint Form
The U.S. Department of Education, Office for Civil Rights Discrimination Complaint Form helps individuals report alleged discrimination based on race, color, national origin, sex, disability, or age. This form includes sections to provide personal and incident details. Instructions on how to complete and submit the form are also included.
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How do I fill this out?
To fill out this form, you need to provide personal information, details of the person discriminated against, and information about the institution involved. Follow the instructions and ensure all required fields are completed. Once filled, submit the form via the provided submission methods.

How to fill out the U.S. Department of Education, Office for Civil Rights Complaint Form?
1
Provide your personal information, including name, address, and contact details.
2
Include the details of the person discriminated against, if different from yourself.
3
Identify the institution or agency where the alleged discrimination occurred.
4
Indicate the basis of the complaint, such as discrimination based on race, sex, or disability.
5
Review the form for completeness and submit it following the provided instructions.
Who needs the U.S. Department of Education, Office for Civil Rights Complaint Form?
1
Students who have experienced discrimination in an educational institution.
2
Parents or guardians filing on behalf of their minor children facing discrimination.
3
Employees of educational institutions who face discrimination at work.
4
Individuals with disabilities who have encountered discrimination in educational settings.
5
Anyone who has witnessed or experienced retaliation for asserting their rights against discrimination.
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What are the instructions for submitting this form?
To submit this form, you can choose from the following methods: Email the completed form to OCR@ed.gov. Fax it to the relevant enforcement office. Submit it online using the fillable version at http://www.ed.gov/about/offices/list/ocr/complaintintro.html. Alternatively, mail the form to the Office for Civil Rights headquarters or the enforcement office that serves your state. For specific addresses and contact details, visit https://ocrcas.ed.gov/contact-ocr. Ensure all required fields are completed and the form is signed before submission. My advice: Use the online submission form for faster processing and confirmation of receipt.
What is the purpose of this form?
The OCR Discrimination Complaint Form is essential for individuals who need to report alleged discrimination in educational institutions and agencies. This form helps protect the rights of people facing discrimination based on race, color, national origin, sex, disability, or age. Filing a complaint ensures that the incident is documented and investigated by the Office for Civil Rights, promoting equal access to education and preventing future discrimination. By providing detailed information about the personal experience and the involved institution, this form allows OCR to address discrimination issues effectively. It is a crucial tool for upholding civil rights and fostering an inclusive educational environment. Filing a complaint also helps public institutions and agencies comply with anti-discrimination regulations and improve their practices.

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

- 1. Name of person filing this complaint: Includes fields for Last Name, First Name, Pronoun, Address, City, State, Zip Code, Primary number, Alternate number, and Email Address.
- 2. Name of person discriminated against (if different): Details fields for Last Name, First Name, Pronoun, Address, City, State, Zip Code, Primary Phone, Alternative Phone, and Email Address, along with the requirement of a signature for individuals 18 or older.
- 3. Institution information: Requests details about the institution or agency involved in the alleged discrimination, including Name, Address, City, State, Zip Code, and Department/School.
- 4. Basis of the complaint: Section to indicate discrimination basis such as race, color, national origin, sex, disability, or age.
What happens if I fail to submit this form?
Failing to submit this form means the alleged discrimination will not be formally documented or investigated by the Office for Civil Rights. This can result in continued discriminatory practices.
- Lack of Investigation: The alleged incident will not be reviewed or addressed by OCR.
- Continued Discrimination: The institution or agency may continue its discriminatory behavior unchecked.
- Missed Opportunity for Redress: The complainant will not have the chance to seek redress or corrective actions through OCR.
How do I know when to use this form?

- 1. Discrimination Based on Race or Color: When facing racial discrimination or color-based harassment.
- 2. Discrimination Based on National Origin: For issues related to national origin, such as language barriers.
- 3. Discrimination Based on Sex: Including gender identity, sexual orientation, or pregnancy-related discrimination.
- 4. Discrimination Based on Disability: For discrimination due to a physical or mental disability.
- 5. Discrimination Based on Age: To report age-related discriminatory practices.
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