File a Ban the Box Complaint Online

Below you can begin the process for filing a complaint with the Community Relations Commission. Once completed, the form will be sent to the Community Relations Commission for review. All starred(*) fields need to be completed before the form can be submitted. ***NOTE: This form will not be considered officially filed until Charging Party provides an original signature at the physical location of the Baltimore City Community Relations Commission.

If you have a question for the Community Relations Commission, visit the page Contact Us.

Charging Party Information (Your Contact Information)

First Name: *

Middle Initial:

Last Name: *

Email Address: *

Primary Phone Number: *

Other Phone Number:

Street Address: *

City: *

County: *

Zip Code: *

Date of Birth: *

Month

Day

Year

Race: *

Gender: *

Male

Female

National Origin: *

Have you filed a complaint about this matter with another agency?

Yes

Agency filed with: *

Other Agency: *

Charging Party Emergency Contact Information (Someone who does not live with you)

First Name: *

Middle Initial:

Last Name: *

Title: *

Address: *

City: *

Zip Code: *

Phone: *

Email: *

Comments (i.e. relationship): *

Respondent Information (Company filing against)

Company Name *

Phone Number: *

Street Address: *

City: *

Zip Code: *

Your Complaint

Explain why you believe you were discriminated against: *

Picture of Job Application/Other Supporting Document(s):

Files must be less than 14 MB.
Allowed file types: gif jpg jpeg png.

Referral Information

How did you find out about the Community Relations Commission?

*By typing your full name in the box below, you are certifying that the above information is true to the best of your knowledge, information, and belief and acknowledging your electronic signature of this complaint form. *

Leave this field blank

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Office of Equity and Civil Rights

You are here

File a Ban the Box Complaint Online