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Small Employer Employment Discrimination Complaint Questionnaire Form

If you suspect you have been discriminated against in employment, you can file a complaint below or call the city of Phoenix Equal Opportunity Department at 602-262-7486/voice or 602-534-1557/TTY.  

Jurisdictional Elements: Business/employer located within the city of Phoenix boundaries

The employer has 14 or fewer employees

The incident occurred within the past 180 days.

For further information visit: http://phoenix.gov/eod/investigations/discrimination/index.html




Please identify potential witnesses by name, title and department. Include address and phone number where known:

Why do you believe you are being discriminated against? It is a violation of the law to discriminate against, or harass in any aspect of employment for the following reasons: age, genetic information, race, sexual orientation, color, religion, sex, national origin, marital status, disability or gender identity or expression.

Who do you believe discriminated against you? Was it your supervisor, a co-worker or subordinate?




Use the submit button below to e-mail your completed form to the intake officer: eod.complaint.enforcement@phoenix.gov

If you prefer, you may call, mail or fax the completed questionnaire to the Equal Opportunity Department at:

City of Phoenix Equal Opportunity Department
Compliance & Enforcement Division
251 W. Washington St. 7th Floor
Phoenix, AZ 85003
602-262-7486/voice     602-534-1557/TTY     602-495-0517/fax

The Equal Opportunity Department will make every attempt to contact you within 48 hours of receipt of your complaint.

Contact information for employers outside of Phoenix or who have more than 14 employees:

Within 180 days from the most recent alleged discriminatory incident:
Arizona Attorney General's Office, Civil Rights Division,
1275 W. Washington
Phoenix, Arizona 85003
(602) 542-5263

Within 300 days from the most recent alleged discriminatory incident:
U.S. Equal Employment Opportunity Commission, Phoenix District Office 3300 N. Central Ave., Suite 690
Phoenix, Arizona 85012
(602) 640-5000

Before you submit this form, we would like you to be aware of the city's policy on the use of its e-mail systems. The policy states that the e-mail message you are about to send: (1) is subject to public disclosure under the Public Records Law, (2) is not private or confidential and (3) is retained for 90 days.

In Person:

Equal Opportunity Department
Calvin C. Goode Building
251 W. Washington St., 7th Floor
Phoenix, AZ 85003

City Auditor business hours are 8 a.m. to 5 p.m., Monday through Friday, except for major holidays.

By Phone:

602-262-7716
602-534-1124 (FAX)
602-534-1557 (TTY)

Hours are 8 a.m. to 5 p.m., Monday through Friday, except for major holidays.