Discrimination Complaint Form | Sedgwick County, Kansas

This form is intended for a Discrimination Complaint. Accessibility Complaints should be submitted to the Accessibility Complain Form.

Contact Information

Name of the Complainant (required)

Email Address of the Complainant

Phone Number of the Complainant

Complaint Information

Description of the incident of discrimination, including exact date, location, and estimated time (required)

Names of witnesses or individuals who can support their allegation; and, contact information of any witnesses.