City of Westerville - Discrimination Complaint Submission Form

 

Personal Information

Please provide the most accurate information for how you can be reached by mail, phone, or email. Please remember, it is your responsibility to contact the City of Westerville to update any of the following information.

 
 
 
 
 
 
 

Complaint Information

 
 
 
 
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In specific, please list any accommodation the City of Westerville can make for communicating with you or in the circumstance that an in-person interview would take place.

 
 

Respondent Information

The respondent is the employer or organization that allegedly engaged in discriminatory action. Please list the following information to the best of your knowledge (individual, employer, organization)

 
 
 
 
 
 
 
 

Complaint Detail

 
 
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