File a Complaint - WELCOME TO THE ARLINGTON, TX NAACP!

Filing a Complaint or Grievance of Discrimination

Thank you for your response. ✨

Please complete information below in order to file an official complain with the NAACP of Arlington, TX.

Completing this form does not constitute an official complaint with a legal authority. At this time, the NAACP is only seeking information to assist you concerning this complaint.

If you would rather utilize a paper form, please see the document below the electronic form and print, complete then mail/fax/email completed form.
See connect link.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Home Address *

City, State and Zip *

What Was the Cause of the Discrimination? *

Who or What Discriminated Against You? *

Was it a business? An Individual? An Organization? A Union? A Government Agency? Etc.

Have You Filed A Grievance Anywhere Else? Such as a Law firm or Government Agency? If so, whom? *

If Employment Related, Have You Filed a Complaint With Your Union? (N/A if doesn’t apply) *

Union Rep’s Contact Number (N/A if doesn’t apply) *

If You Answered Yes to the Last Question, Who is Your Representative and What is Their Contact Information? (N/A if doesn’t apply) *

Have You Retained an Attorney? (N/A if doesn’t apply) *

Attorney’s Contact Number (N/A if doesn’t apply) *

Attorney’s Address (N/A if doesn’t apply) *

What Is The Date That The Discrimination Occurred or the Most Recent Date if it is Continuous? *

Explain Below What Has Occurred for you to File A Grievance of Discrimination? *

By checking below, I affirm that I have read and fully comprehend the above charge and accusation that I am filing and further that it is true to the best of my knowledge based on the information that I have obtained. *

I agree

DATE *

Was it a business? An Individual? An Organization? A Union? A Government Agency? Etc.

Filing a Complaint or Grievance of Discrimination

← Back

Thank you for your response. ✨

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Home Address *

City, State and Zip *

What Was the Cause of the Discrimination? *

Who or What Discriminated Against You? *

Was it a business? An Individual? An Organization? A Union? A Government Agency? Etc.

Have You Filed A Grievance Anywhere Else? Such as a Law firm or Government Agency? If so, whom? *

If Employment Related, Have You Filed a Complaint With Your Union? (N/A if doesn’t apply) *

Union Rep’s Contact Number (N/A if doesn’t apply) *

If You Answered Yes to the Last Question, Who is Your Representative and What is Their Contact Information? (N/A if doesn’t apply) *

Have You Retained an Attorney? (N/A if doesn’t apply) *

Attorney’s Contact Number (N/A if doesn’t apply) *

Attorney’s Address (N/A if doesn’t apply) *

What Is The Date That The Discrimination Occurred or the Most Recent Date if it is Continuous? *

Explain Below What Has Occurred for you to File A Grievance of Discrimination? *

I agree

DATE *

Was it a business? An Individual? An Organization? A Union? A Government Agency? Etc.