Employee Discrimination Form

This form will be for City employee and applicants, alleging discrimination, by City of Phoenix employees. Complaints must be made within 300 days of the last incident. EOD staff will be in contact with you soon to gather additional information.

Contact Information

Address Information

If applicable to your complaint of discrimination, what is your:

Incident Information

Who do you believe discriminated against you?

What is the nature of your complaint?

If applicable to your complaint of discrimination, what is the persons:​