Human Rights and Equity Programs

CONTACT INFORMATION: Our office is open 8AM-4:30PM. To file a complaint, call (703) 324-2953 to be scheduled for an intake appointment via telephone or videoconference.
703-324-2953 TTY 711
12000 Government Center Parkway, Suite 318
Fairfax, VA 22035
Michael L. Simms
Director

File a Complaint of Allegations of Discrimination

Please be advised that by completing this form and returning it, you have not filed a formal complaint as required under the Fairfax County Human Rights Ordinance. Upon receipt of your completed form, commission staff will review your form and contact you to finalize the process.

Full Name
Address
choice

Details if submitting for someone else

If the person discriminated against is 18 or older, we will need that person’s signature before we can proceed with this complaint. Under Fairfax County government policy, only the person harmed or their legal guardian can file with OHREP.
Address
Agency Address
a. Date (s) the discriminatory action occurred;
b. Name(s) of individual(s) who discriminated (include position, title);
c. Location of alleged violation;
d. What happened;
e. Witnesses, (if any);
f. Why you believe the discrimination was because of disability.
Do you have documents that you think will help us understand your complaint? (If yes, you will be contacted with instructions for submitting this information. Do not send original documents.)
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