Filing a complaint by mail

Download a copy of a blank intake form using the table below. Chose the form that matches your type of complaint. Should you have more than one type of complaint, complete an intake form for each type. Fill it out and return to DFEH using either email or the post office. Mail to our headquarters address.

2218 Kausen Drive, Suite 100
Elk Grove, CA 95758

English

Intake formDescription
Right-To-SueRight-To-Sue
EmploymentEmployment discrimination, harassment and/or retaliation
Housing Housing discrimination, harassment and/or retaliation
Business Establishment
Discrimination in services by a business such as a hotel, restaurant or a store
Criminal History in Employment DecisionsUse of criminal history information in employment decisions
DisabilitiesDiscrimination in services or denied access with guide, signal, or service dog
Hate ViolenceIntimidation or act(s) of hate violence
Human TraffickingHuman trafficking pre-complaint inquiry
Sexual Harassment Prevention Training ComplaintFailure to comply with sexual harassment prevention training and education requirements
State ContractorsState contract nondiscrimination requirement complaint form
Recipients of State Funding - IndividualIndividual Discrimination by State-operated, funded, or financially-assisted entity
Recipients of State Funding - AgencyComplaint form for State Agencies - Discrimination by State-funded or financially assisted programs

Spanish (Español)

Intake formDescription
Empleo (Employment)Employment discrimination, harassment and/or retaliation
Vivienda (Housing)Housing discrimination, harassment and/or retaliation
Ley de Derechos Civiles Unruh (Business Establishment)Discrimination in services by a business such as a hotel, restaurant or a store
Uso De Infomación De Antecedentes Finales En El Empleo
(Criminal History in Employment Decisions)
Use of criminal history information in employment decisions
Ley de Personas Discapacitadas (Disabilities)Discrimination in services or denied access with guide, signal, or service dog
Ley de Derechos Civiles Ralph (Hate Violence)Intimidation or act(s) of hate violence
Trata de Personas (Human Trafficking)Human trafficking pre-complaint inquiry
Sobre capacitación para la prevención del acoso sexual
(Sexual Harassment Prevention Training Complaint)
Failure to comply with sexual harassment prevention training and education requirements
De Requeirmiento De No Discriminación Del Acoso Sexual
(State Contractors)
State contract nondiscrimination requirement complaint form
Discriminación por entidad operada, financiada o asistida
económicamente por el Estado
(Recipients of State Funding - Individual)
Individual Discrimination by State-operated, funded, or financially-assisted entity

Chinese (中文)

Intake formDescription
就业 (Employment)Employment discrimination, harassment and/or retaliation
住房 (Housing)Housing discrimination, harassment and/or retaliation
安鲁民权法案 (Business Establishment)Discrimination in services by a business such as a hotel, restaurant or a store
犯罪历史信息在雇用中的使用
(Criminal History in Employment Decisions)
Use of criminal history information in employment decisions
残疾人法案 (Disabilities)Discrimination in services or denied access with guide, signal, or service dog
拉尔夫民权法案 (Hate Violence)Intimidation or act(s) of hate violence
人口贩运 (Human Trafficking)Human trafficking pre-complaint inquiry
性騷擾預防培訓投訴表格
(Sexual Harassment Prevention Training Complaint)
Failure to comply with sexual harassment prevention training and education requirements
州合同非歧视要求投诉表
(State Contractors)
State contract nondiscrimination requirement complaint form
被州运营、资助或经济援助的实体的歧视
(Recipients of State Funding - Individual)
Individual Discrimination by State-operated, funded, or financially-assisted entity

Korean (한국어)

Intake formDescription
고용 (Employment)Employment discrimination, harassment and/or retaliation
주택 지원 (Housing)Housing discrimination, harassment and/or retaliation
언루 시민권령 (Business Establishment)Discrimination in services by a business such as a hotel, restaurant or a store
고용시 범죄 기록의 사용
(Criminal History in Employment Decisions)
Use of criminal history information in employment decisions
장애인령 (Disabilities)Discrimination in services or denied access with guide, signal, or service dog
랄프 시민권령 (Hate Violence)Intimidation or act(s) of hate violence
인신 매매 (Human Trafficking)Human trafficking pre-complaint inquiry
성 희롱 예방 트레이닝 불만 제기 양식
(Sexual Harassment Prevention Training Complaint)
Failure to comply with sexual harassment prevention training and education requirements
주정부 계약자의 비차별 요건 불만 제기 양식
(State Contractors)
State contract nondiscrimination requirement complaint form
주 정부가 운영, 직접 지원 또는 재정 보조하는 기관에 의한 차별
(Recipients of State Funding - Individual)
Individual Discrimination by State-operated, funded, or financially-assisted entity

Vietnamese (Tiếng Việt)

Intake formDescription
CÔNG VIỆC (Employment)Employment discrimination, harassment and/or retaliation
NHÀ Ở (Housing)Housing discrimination, harassment and/or retaliation
Đạo Luật Quyền Công dân Unruh (Business Establishment)Discrimination in services by a business such as a hotel, restaurant or a store
SỬ DỤNG THÔNG TIN LÝ LỊCH TƯ PHÁP TRONG CÔNG VIỆC
(Criminal History in Employment Decisions)
Use of criminal history information in employment decisions
Đạo luật Người khuyết tật (Disabilities)Discrimination in services or denied access with guide, signal, or service dog
Đạo Luật Quyền Công dân Ralph (Hate Violence)Intimidation or act(s) of hate violence
Buôn Người (Human Trafficking)Human trafficking pre-complaint inquiry
Mẫu đơn Khiếu nại Huấn luyện Phòng ngừa Quấy nhiễu tình dục
(Sexual Harassment Prevention Training Complaint)
Failure to comply with sexual harassment prevention training and education requirements
MẪU ĐƠN KHIẾU NẠI VỀ CÁC QUY ĐỊNH KHÔNG PHÂN BIỆT ĐỐI XỬ DÀNH CHO NHÀ THẦU VỚI NHÀ NƯỚC
(State Contractors)
State contract nondiscrimination requirement complaint form
Sự phân biệt đối xử bởi các cơ quan do Nhà nước điều hành, tài trợ hoặc hỗ trợ tài chính
(Recipients of State Funding - Individual)
Individual Discrimination by State-operated, funded, or financially-assisted entity

Tagalog

Intake formDescription
TRABAHO (Employment)Employment discrimination, harassment and/or retaliation
PABAHAY (Housing)Housing discrimination, harassment and/or retaliation
Batas ng Karapatang Sibil (Business Establishment)Discrimination in services by a business such as a hotel, restaurant or a store
ANG PAGGAMIT NG IMPORMASYON SA KASAYSAYAN NG KRIMEN SA TRABAHO
(Criminal History in Employment Decisions)
Use of criminal history information in employment decisions
Batas sa Taong May Kapansanan (Disabilities)Discrimination in services or denied access with guide, signal, or service dog
Batas ng Karapatang Sibil (Hate Violence)Intimidation or act(s) of hate violence
Pangangalakal ng Tao (Human Trafficking)Human trafficking pre-complaint inquiry
Porma ng Reklamo sa Pag-iwas sa Pagsasanay tungkol sa Sekswal na Panliligalig
(Sexual Harassment Prevention Training Complaint)
Failure to comply with sexual harassment prevention training and education requirements
KONTRATA NG ESTADO NG MGA PANGANGA- ILANGAN
SA WALANG DISKRIMINASYONG PORMA NG REKLAMO
(State Contractors)
State contract nondiscrimination requirement complaint form
Diskriminasyon sa pinatatakbo ng Estado, pinondohan, o pinansiyal ng katauhang tinutulungan
(Recipients of State Funding - Individual)
Individual Discrimination by State-operated, funded, or financially-assisted entity