Dayton Human Relations Council

Civil Rights Discrimination Inquiry Form

The City of Dayton Human Relations Council investigates allegations of unlawful discrimination in housing, employment, credit transactions, and public accommodations. Persons being treated differently in Dayton can submit an inquiry in four ways: (1) in-person; (2) online; (3) over the phone; or (4) by downloading the Dayton Human Relations Council app on your cell phone.

If you feel that you have been discriminated against based on one or more of the protected classes listed below, you may be eligible to file a complaint against the person or organization that discriminated against you.

If you believe that you have been the victim of discrimination because of your race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, age, disability, familial status, marital status, or source of income, you can download and fill this complaint form. The form is available in Spanish here. You can also file a complaint in person at:

The Human Relations Council
371 West Second Street, Suite 100
Dayton, Ohio 45402

You can also fill out the online form below and a member of our Civil Rights team will contact you as soon as possible.

Civil Rights Discrimination Inquiry Form

"*" indicates required fields

Complainant Information (Your Information)


 

Complainant Address*

 

Preferred Contact

 

Contact's Name
Who else can we contact if we cannot reach you?

 

Respondent Information (Person or Organization that Discriminated)

 

Respondent Address


 

Type of Complaint*


 

How were you discriminated against? For example: were you refused an opportunity to rent or buy housing? Denied a loan? Told that housing was not available when in fact it was? Treated differently from others seeking housing? State briefly what happened.

 

I have been discriminated against because of my membership in the following protected class(es) :*

 

Is it because of your: • race • color • religion • sex • national origin • familial status • disability? For example: were you denied a job because of your race? Were you denied a mortgage loan because of your religion? Or turned down for an apartment because you have children? Briefly explain why you think your rights were denied and check the factor(s) listed above that you believe apply.

 


 

For example: Was it at a rental unit? Single family home? Public or Assisted Housing? A Mobile Home? Did it occur at a bank or other lending institution? Provide the address.

 


 


 


 

Drop files here or
Accepted file types: jpg, gif, png, tiff, pdf, Max. file size: 8 MB, Max. files: 6.

     


     

    Your housing discrimination complaint will be reviewed by an Equal Opportunity Specialist to determine if it alleges acts that might violate the City of Dayton's anti-discrimination ordinances. The specialist will contact you for any additional information needed to complete this review. If your complaint involves a possible violation of applicable law, the specialist will assist you in filing an official complaint.

     


     

    AFFIRMATION:

    I affirm and declare under penalty of perjury that I have read this complaint, including attachments, and that the above charge is true to the best of my knowledge, information and belief.

     

    Get Involved

    The more residents that get involved in their community, the better the City of Dayton will be.
    The Human Relations Council offers opportunities for individuals and organizations to
    make an impact and promote equality and harmony in Dayton, Ohio.

    Learn More
    Menu