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Human Relations Commission - Discrimination in Employment Claim

  1. Please answer the following questions, briefly explaining why you feel you have been discriminated against in Employment.

  2. If city is not Elgin, please type in city name.

  3. If state is not IL, please type in the state.

  4. I believe I was discriminated against by: (check all that apply)*

  5. The Human Relations Commission has jurisdiction over these categories listed below. By law, no other category can be investigated. Please check which category(ies), apply (ies) to your situation.*

  6. Which action was taken against you that you believe to be discriminatory?

  7. Thank you for submitting the form. We will contact you within a week.

  8. If you wish to receive an email copy of this form instead of printing, please check the box below and enter your email address.

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  10. This field is not part of the form submission.