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2. Please note:
   • Complaints concerning employees or services provided by the Sheriff's Office, Courts, Health Departments, Tax Commissioner or Extension Service should be directed to those agencies utilizing their complaint procedures.
   • ADA/TITLE VI complaints must be submitted within 180 days of occurrence. 
   • Once we have received your complaint we will respond to you via email or phone within 10 days.
   • Our investigation into your complaint may include internal investigations or external agencies. 

    

   Contact Information for Filing Complaints with DHS Office for Civil Rights and Civil Liberties (CRCL)

   • E-mail: [email protected] (fastest method to submit your complaint)

   • Fax: 202-401-4708

   • U.S. Mail:

   U.S. Department of Homeland Security
   Office for Civil Rights and Civil Liberties
   Compliance Branch
   245 Murray Lane, SW
   Building 410, Mail Stop #0190
   Washington, D.C. 20528

    • Website for additional information: https://www.dhs.gov/file-civil-rights-complaint

4. Contact Information
6. First Name*
7. Last Name*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Phone Number*
18. Email Address*
20. Employee/Accessibility/Discrimination Complaint
22. 1. Employee Name (if known) or Type of Accessibility/Discrimination Issue
24. 2. Employee Department (if known) or Location of Accessibility/Discrimination Issue
26. 3. Date and Time of Incident
    3. Date and Time of Incident

    3. Date and Time of Incident
28. IF ACCESSIBILITY/DISCRIMINATION ISSUE, SKIP TO #6
30. 4. Employee Vehicle Number (if known)
32. 5. Location of Problem with Employee
34. 6. Who Else May Have Witnessed?
36. 7. Describe Your Complaint - Please be specific.*
38. Number
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

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