Use this form if you experienced discrimination as a customer or client of any entity that offers goods or services to the public.
This includes, but is not limited to, stores, insurance agencies, theatres, restaurants, transportation services, public buildings, salons, medical offices, day care services, parks, fitness and recreation facilities, including any recreational facilities owned or operated by a governmental entity.
Do not use this form if:
- • You were denied a mortgage or other housing-related credit. Use the Housing form instead.
- • You were denied benefits from your employer, including insurance. Use the Employment form instead.