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Tell us about Economic Harm

  1. Tell the Economic Justice Unit about Economic Harm

  2. Contact Information

  3. Please include times that you may not be available. Such as requesting a call outside of work hours regarding a complaint against your employer. 

  4. Complaint

  5. Which of the following are you reporting? (Select all that apply)*
  6. Please tell us who you are in relation to the problem you are reporting. 

  7. Please tell us where the issue you are reporting occurred.

  8. Who are you are filing a complaint against? For example, business, employer, contractor, etc. 

  9. Please help us understand the times that this occurred. Did it happen once or was this a repeated problem? Please include the date or date ranges. 

  10. Please briefly explain what happened. We will reach out to you if we need further information. 

  11. Please include anything else you may wish to share that will help us review this case. 

  12. Leave This Blank:

  13. This field is not part of the form submission.