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   Home / City Forms / AIDS or Sexually Orientation Discrimination Complaint
      AIDS or Sexual Orientation Discrimination Complaint

Discrimination against persons based upon their sexual orientation or upon the belief that they have AIDS or ARC is unlawful. Santa Monica Municipal Code Sections 4900 and 4950. If you believe you have been discriminated against, please complete this form.

View Partial summary outlines services, facilities, and institutions covered by Santa Monica Law.

Please fill in all information below.


Complaint of:

Name:
Address:
City:
State:   Zip Code:   Home Phone:
Business Phone:  
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Complaint Against:

Name:
 Address:
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State:    Zip Code:    Phone:      

Description of Complaint:

Desired Resolution:


      
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This page was last modified on 11/26/2008

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