Pre-Complaint Questionnaire - Housing

Step 1 of 5

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  • The information requested on this form will assist the Office of Equity, Community and Human Rights in helping you. There is no guarantee that the information submitted will result in an investigation. Please check or answer only those questions that apply.
  • Date Format: MM slash DD slash YYYY
  • :
  • I wish to complain against
    (Full legal name of the person and/or entity)
  • Questionnaire

  • If yes, please state their names and ages below
  • Date Format: MM slash DD slash YYYY
  • (leave blank if still employed)
    Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • (leave blank if still employed)
    Date Format: MM slash DD slash YYYY