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Public Accommodations Form

IMPORTANT NOTE: Our website is in the process of being upgraded and until this process is complete, the security feature required for submitting this form may not be fully accessible for people who are blind or low-vision. If you are unable to complete this form because of that security feature, please contact us at ohr.intake@dc.gov or call (202) 727-4559 during business hours and we will be happy to provide an accommodation. We apologize for the inconvenience. 

 

Submitting this complaint questionnaire does not constitute the formal filing of a discrimination charge, but it serves to preserve all rights under the statute of limitations.  The formal filing will take place when we review your questionnaire and hold an intake interview with you at the OHR Office.

1. COMPLAINANT INFORMATION
IF REPRESENTED BY COUNSEL, PLEASE PROVIDE THE FOLLOWING
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