FILE A COMPLAINT

Disability Info Release for Public Accommodations



Complete this form if you have a disability-related complaint. This form authorizes the release of information related to your disability to PA Human Relations Commission investigators.
  Name
PDF Documents Disability Info Release for Public Accommodations.pdf

Public Accommodations Discrimination Questionnaire


Complete this form if you were denied the services or offered different terms and conditions for services in a business or other facility based on your race, sex, religion, ancestry, disability, etc. This includes services provided by government entities, and any business or facility which is open to, accepts, or solicits patronage of the general public.
  Name
PDF Documents Public Accommodation Discrimination Questionnaire.pdf