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Public accommodations discrimination complaint form
The Complainant below charges the Respondent named below with a violation of Chapter 12, Article III of the Code of the City of Charlotte. Please only enter the minimal information concerning your complaint. Additional details will be collected by an investigator as needed in the future.

1. YOUR PERSONAL INFORMATION

2. ENTER COMPLAINT INFORMATION

NOTE: It is a volation of the law to deny any person the full and equal enjoyment of the goods, services, facilities, privileges, advantages and accommodations of a place of public accommodation because of race, color, religion or national origin. It is also unlawful for any establishment open to the public to make, print, circulate, post, mail or otherwise cause to be published a statement, advertisement or sign that discourages the full use and enjoyment of any public accommodation because of race, color, religion or national origin.

NOTE: Additional details will be collected by the investigator assigned to your case. The CRC will provide a copy of this complaint to the individual(s) or organization(s) against whom your complaint was made.

* denotes a required field