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Harford County Human Relations Complaint Form

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  2. Harford County Human Relations Complaint Form

    Under provision of the Harford County Charter 95 (Discriminatory Practices)

  3. COMPLAINANT INFORMATION

  4. RESPONDENT INFORMATION

  5. ALLEGED DISCRIMINATORY INCIDENT

  6. Basis for Discrimination

    (Please check all that apply)

  7. Discriminatory of Wrongful Practice Involving:

    (Please check all that apply)

  8. Please give the name, address and telephone number of any other agency you contacted about this complaint.

  9. Did anyone witness the events you described above? If yes, please list their contact information, if possible.

  10. Parties to complaints may voluntarily resolve their differences without an extensive investigation or expenditure of resources by participating in a mediation process. Are you interested in participating in such a process?

  11. By submitting this form, I do hereby attest that the information in the foregoing complaint is true and correct to the best of my knowledge.

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