Discrimination Complaint

Document Information
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Title	Discrimination Complaint (A fillable form - 199 KB PDF) Discrimination Complaint (184 KB PDF)
Description	Employees who believe they have been discriminated against by their employer may use this form to file a complaint.
Detail
Form number	F262-009-000
Availability	Order it
Keywords	discriminate, discrimination, employee, espanol, spanish, worker
Languages	English , Spanish
Valid dates	04-1998
Contact information	Workers' Comp Fraud Investigation
Web pages	Fraud & Complaints