Washington State

Office of the Attorney General

Attorney General

Bob Ferguson

Fair Chance Jobs Complaint Form

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* Starred fields are mandatory in order to process your request.
Information About You
*Last Name:
*First Name:
Middle Name:
*Address:
*City:
*State:
*Zip:
*Contact phone:
Best day(s) of the week and time(s) of day to reach you by phone
*Contact e-mail address:
*Confirm e-mail address:
*Is this complaint about you?  
What language should we contact you in?
Information About the Employer
*Employer Name:
Address:
City:
State:
Zip:
*Name of Contact Person at Employer:
Employer Website:
Employer Phone Number:
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?  
*Is this complaint about an employer's job advertisement?
*Is this complaint about an employer's job application?
*Is this complaint about an employer's hiring process other than the job advertisement or job application?
For what position did the applicant apply?
*Was the applicant hired for the job?
 
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:
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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