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Department Language Access Complaint Form

Complaint Form

Federal and State laws and regulations require the State of Illinois to comply with all nondiscrimination laws, including but not limited to the federal Civil Rights Act of 1964, the Americans with Disabilities Act, and the Illinois Human Rights Act. This includes ensuring that all individuals can meaningfully access State of Illinois services, benefits, and programs. If you feel have been denied and/or restricted access to State services, benefits, or programs on the basis of your age, race, sex, disability, national origin, sexual orientation, or any other protected reason, please complete this form and submit to: FPR.EEO@illinois.gov

Information About You

Basis of Complaint:

Information About Your Complaint 

    Language Access:

    Please complete this section if your complaint concerns access to government services in the language that you speak or write.

    If you answered "Yes", please list the name and contact information for the person who assisted you.

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