File a Complaint by Mail
Download a copy of a blank intake form using the table below. Choose 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 CRD using either email or the post office. Mail to our headquarters address:
- 2218 Kausen Drive, Suite 100
Elk Grove, CA 95758
English Intake Form | Description |
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Right-To-Sue (PDF) | Right-To-Sue (employment cases only) |
Employment (PDF) | Employment discrimination, harassment and/or retaliation |
Housing (PDF) | Housing discrimination, harassment and/or retaliation |
Business Establishment (Unruh) (PDF) | Discrimination in services by a business such as a hotel, restaurant or a store |
Criminal History in Employment Decisions (PDF) | Use of criminal history information in employment decisions |
Disabilities (PDF) | Discrimination in services or denied access with guide, signal, or service dog |
Hate Violence (Ralph) (PDF) | Intimidation or act(s) of hate violence |
Human Trafficking (PDF) | Human trafficking |
Sexual Harassment Prevention Training Intake Form (PDF) | Failure to comply with sexual harassment prevention training and education requirements |
State Contractors (PDF) | State contract nondiscrimination requirement complaint form |
Recipients of State Funding - Individual (PDF) | Individual Discrimination by State-operated, funded, or financially-assisted entity |
Recipients of State Funding - Agency (PDF) | Complaint form for State Agencies - Discrimination by State-funded or financially assisted programs |
Chinese Intake Form | Description |
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就业 (Employment) (PDF) | Employment discrimination, harassment and/or retaliation |
住房 (Housing) (PDF) | Housing discrimination, harassment and/or retaliation |
安鲁民权法案 (Business Establishment) (PDF) | 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) (PDF) | Use of criminal history information in employment decisions |
残疾人法案 (Disabilities) (PDF) | Discrimination in services or denied access with guide, signal, or service dog |
拉尔夫民权法案 (Hate Violence) (PDF) | Intimidation or act(s) of hate violence |
人口贩运 (Human Trafficking) (PDF) | Human trafficking |
性騷擾預防培訓投訴表格 (Sexual Harassment Prevention Training Complaint) (PDF) | Failure to comply with sexual harassment prevention training and education requirements |
州合同非歧视要求投诉表 (State Contractors) (PDF) | 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) (PDF) | Individual Discrimination by State-operated, funded, or financially-assisted entity |
Korean Intake Form | Description |
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고용 (Employment) (PDF) | Employment discrimination, harassment and/or retaliation |
주택 지원 (Housing) (PDF) | Housing discrimination, harassment and/or retaliation |
언루 시민권령 (Business Establishment) (PDF) | Discrimination in services by a business such as a hotel, restaurant or a store |
고용시 범죄 기록의 사용 (Criminal History in Employment Decisions) (PDF) | Use of criminal history information in employment decisions |
장애인령 (Disabilities) (PDF) | Discrimination in services or denied access with guide, signal, or service dog |
랄프 시민권령 (Hate Violence) (PDF) | Intimidation or act(s) of hate violence |
인신 매매 (Human Trafficking) (PDF) | Human trafficking |
성 희롱 예방 트레이닝 불만 제기 양식 (Sexual Harassment Prevention Training Complaint) (PDF) | Failure to comply with sexual harassment prevention training and education requirements |
주정부 계약자의 비차별 요건 불만 제기 양식 (State Contractors) (PDF) | State contract nondiscrimination requirement complaint form |
주 정부가 운영, 직접 지원 또는 재정 보조하는 기관에 의한 차별 (Recipients of State Funding - Individual) (PDF) | Individual Discrimination by State-operated, funded, or financially-assisted entity |
Punjabi Intake Form | Description |
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ਮੁਕੱਦਮਾ ਦਾਇਰ ਕਰਨ ਦਾ ਅਿਧਕਾਰ (Right-To-Sue) (PDF) | Right-To-Sue (employment cases only) |
ਰੁਜ਼ਗਾਰ (Employment) (PDF) | Employment discrimination, harassment and/or retaliation |