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Fair Chance Jobs Complaint Form
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1
Information About You
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Address:
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City:
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Zip:
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Contact Phone
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Contact e-mail address:
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Confirm e-mail address:
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Is this complaint about you?
No
Yes
What language should we contact you in?
2
Information About the Employer
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Employer Name:
Address:
City:
State:
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AK
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Contact Person at Employer:
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Last Name:
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First Name:
Employer Website:
Employer Phone Number:
3
Information About this Complaint
*
Is this a Fair Chance Act / Ban the Box complaint? Put another way, does this complaint involve an employer asking about a job applicant's criminal record before determining if the applicant was otherwise qualified for the position, or automatically excluding an applicant because of their criminal record?
No
Yes
*
Is this complaint about an employer's job advertisement?
No
Yes
*
Is this complaint about an employer's job application?
No
Yes
*
Is this complaint about an employer's hiring process other than the job advertisement or job application?
No
Yes
For what position did the applicant apply?
*
Was the applicant hired for the job?
No
Yes
Unknown
4
Documents
You may upload
5 files
with a total file size limit of
20 megabytes, including a copy or photo of any job advertisement or blank job application form about which you are complaining
.
Accepted Document Types:
TXT, DOC, DOCX, XLS, XLSX, PDF
Accepted Image Types:
JPG, TIF, TIFF, PNG, JPEG
Upload Attachments:
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5
Privacy Notice, disclaimer and signature
Some or all of the information submitted on this form may constitute a public record. By selecting YES below, I acknowledge that my complaint and attachments, once submitted, may become a public record subject to review by the Attorney General's Office for applicable restrictions on disclosure. If you would rather submit your complaint via phone, you may do so by leaving a message at (833) 662-9934 and a staff member will return your call.
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