Discrimination Complaint - Public Accommodation or Amusement
Document Number: ERD-10241-E
Description: This form should be used to file a Public Accommodation or Amusement Complaint.
Comments: This form must be notarized.
Content Contact: Equal Rights Information
ERD-10241-E (Electronic Version - Word/117 KB)
ERD-10241 (Print Version - pdf/78 KB)
*** If you need to access this form in an alternate format, please send an email to the Content Contact listed above.
*** Should you require the necessary software to view the above attachment, please go to the DWD Viewers Download Page. Links to each specific vendor's site have been provided for you. Thank you.