Complaint Form

I have reviewed Chancellor’s Regulation A-830. Click here for Chancellor’s Regulation A-830.

Complaint Category:

Complaint Information
(If an employee, please provide Job Title, otherwise leave blank)
If you are a parent, type student's first and last name (otherwise leave blank):
Note: This must be your valid email address or you will not be able to submit this complaint.
Complaint Request

This is a request to OEO for a formal investigation of a complaint of alleged discrimination.

Nature of Complaint
1. Check below why you were discriminated against
2. Name(s)/Title(s) of person(s) you believe discriminated against you
3. Where did it take place: (Please provide site name & address)
(Maximum 8,000 characters)
4. Date(s) on which alleged act(s) of discrimination occurred
(MM/DD/YYYY - Please separate multiple dates with commas. Maximum of 50 characters.)
5. Explain what happened
(Maximum 8,000 characters)
6. What relief or corrective action are you seeking?
(Maximum 8,000 characters)
Send paper copies of any documents that you want to support this complaint so that we receive them within five working days of the date when you complete this form. Failure to submit timely supporting documentation may delay our response.
* Once you submit this complaint, please check your email for email confirmation.