Create a Website Account - Manage notification subscriptions, save form progress and more.
If you feel you have been the victim of illegal discrimination, file a complaint or report a bias incident by filing out the form below with as much detail as possible.
Please include beginning and ending dates
I hereby verify that the statements above are true and correct to the best of my knowledge, information, and belief. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S.A. 4904, relation to unsworn falsification to authorities.
Please type your name
This field is not part of the form submission.
* indicates a required field