CRU Complaint Form

Does your complaint involve employment? If you answer is NO, we will not be able to investigate your complaint. If your answer is YES, please continue with this questionnaire.

This questionnaire is designed to help us determine whether your situation can be investigated by the Attorney General’s Office or the Vermont Human Rights Commission.

If you are a State employee and you believe you have been discriminated against in employment, your submission on this page will be sent to the Vermont Human Rights Commission for review. You may also reach the VTHRC directly at 800-416-2010 (Toll Free in VT) or at 802-828-1625 or at human.rights@vermont.gov.

Your Name:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Your Phone Number:

Your Date of Birth:

Your Email Address:

Confirm email

Name and Phone Number of someone who will know how to reach you:

Are you presently represented by an attorney?

Yes

Attorney name and contact information: