Discrimination Intake Form

NOTICE: COMPLETION OF THIS FORM DOES NOT CONSTITUTE FILING A CHARGE. YOU MUST COME INTO ONE OF OUR OFFICES TO COMPLETE THE PROCESS.

Use this form to start the charge filing process, or to submit pertinent information about your open case. You can download this form and save it to your own computer. Complete the front portion and select the "questionnaires" that apply to you. You can submit the completed form online. We can also accept the completed form at one of our offices, or by mail to:

New Castle County:
Department of Labor
Office of Anti-Discrimination
4425 N. Market Street, 3rd Fl.
Wilmington, DE 19802
(302) 761-8200

Kent/Sussex Counties:
Department of Labor
Office of Anti-Discrimination
24 N.W. Front Street, Suite 100
Milford, DE 19963
(302) 422-1134

ONCE WE REVIEW THE COMPLETED FORM, WE WILL CONTACT YOU TO SCHEDULE AN APPOINTMENT TO COMPLETE THE PROCESS.

Discrimination Intake Form