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Employment Complaint

Page 1 of 10 18 questions on this page.

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Personal Information

First Name

Middle Initial

Last Name

Street or Mailing Address

Apt or Unit Number

City

Parish

State

Zip Code

Mobile Phone

Home Phone

Work Phone

Email

Date of Birth

Sex

Male

Female

Race

Ethnicity

Do you have a disability?

Yes

No

Resources for More Information

Phone: 225-342-6969

Fax: 225-342-2063

Office of the Governor
Louisiana Commission on Human Rights
P.O. Box 94094
Baton Rouge, LA 70804

1001 N. 23rd Street
Suite 268
Baton Rouge, LA 70802