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Discrimination Complaint Form Template

Discrimination on the basis of personal identity is horrible. Almost all around the world, it is condemned, and in some cases penalized. There are a lot of systems in place to address this issue in both government and private areas. One of which is the discrimination complaint form that we have a template for.

Discrimination Complaint Form Template


What is an online discrimination form?

A discrimination complaint form is a form filled by a person who feels that they were targeted for their identity or 3rd persons who witnessed the discrimination. Having such a form is necessary for a lot of areas because a place where there’s discrimination cannot be tolerated. Online discrimination forms can be filled in situations such as:

  • Not having an equal employment opportunity.
  • Unequal treatment on the job.
  • Denial of service.
  • Termination without cause.
  • Unequal education.
  • Suspension without just cause.
  • Being forced to segregation in any environment.

Our discrimination complaint form template can be modified easily and befitted to your situation. If you’re willing to embed the form into your website, it also can be done. You might want it to be specific for HR for example. provides you with the tools necessary to create any form you want. 

Why should you use an online discrimination complaint form?

We’re far past discriminating against people based on their race, religion, national origin, disability, age, color, gender identity, etc. It’s a bad practice and should not happen. Collectively, we must take a stand against such behavior. Giving people of certain characteristics a way to voice their complaints on the issue is meaningful and helpful. We’re getting better every day, but sometimes it’s still hard to be seen. Being able to easily fill out a discrimination complaint form will help those who are abused or harassed. If you’re an employer, it’s a great idea to have one available for people. You can then know of the problems that are harmful to society, within your organization. Our complaint form templates are easy to use, and you can easily create your forms faster by using them. If you suspect that it’s an ongoing problem and you want to get more specific information from the complainants, you can always use’s easy-to-use features. Customize our template at your will. Anybody can use our template. If you want to send a form about your experience but don’t know-how, our discrimination form template can be a good guide.

You can fill out a discrimination complaint form for something that you have witnessed. It needs saying, you’d find it beneficial to have the consent of the person who faced the discrimination. Our template will have you give information on the matter. Asking for complainants' personal information such as telephone number, and separate information if the person(s) who were discriminated against is someone else than the complainant. Then we have the complainant give information about the nature of discrimination, along with a description. 

Creating online forms and surveys is much easier than ever before. Without needing to code a single line, you can simply create forms or surveys and customize its fields, design, and general options with just a few clicks through’s intuitive form builder interface. After that, you can share using one or more of many sharing options and start collecting responses immediately. 

Powerful features: 

  • Conditional logic 
  • Create forms with ease
  • Calculator for exams and quote forms
  • Geolocation restriction
  • Real-time data
  • Detailed design customization

Forms and surveys that are created on can be easily integrated with many third-party applications via Zapier. You can integrate with more than 500 third-party applications such as Slack, MailChimp, and Pipedrive. For example, you can create contacts on MailChimp and send notifications to a specific Slack channel per submission you received through your forms.

It is alright if you don’t want to put in more time to create a form from scratch. Jumpstart with one of many ready-to-use templates and get to the work of collecting responses without bothering yourself at all. If you would like to, you can customize your template’s form fields, design and adjust general form settings.

You can share your forms in any way you like. If you want to share your form and collect responses through your form’s unique link, you can simply adjust privacy settings and copy-paste your form link anywhere. And if you would like to embed your form in your website, you can easily copy and paste embed code in your website HTML.

On, you can customize your form’s theme and design elements in depth. Once you switch to the ‘Design’ tab after getting your form done, you will see many different design customization options. You can change your form theme by choosing your own colors or picking one of many ready-made themes.