NAACP Preliminary Complaint Form - Online

Name *
Name
Phone
Phone
Mailing Address
Mailing Address
Date of Birth
Date of Birth
Past Member?
Respondent
Party you are filing the complaint against
Respondent Name
Respondent Name
if applicable
Respondent Address
Respondent Address
Cause of Discrimination or Civil Rights Complaint
Area of Complaint
Have you retained an attorney to handle this matter?
Has a complaint been filed with...
Have you tried to discuss/resolve this problem with the Respondent?