RSJ Hate/Bias Complaint Form
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  • Hate or Bias Complaint Form

    RSJ Complaint Investigation Division, Racial and Social Justice Department of the City of Somerville
  • Please fill out the form below to submit a hate or bias complaint:


    1. If you feel that you have been the target of a hate or bias incident, AND
    2. The alleged hate or bias incident occurred in the City of Somerville, AND
    3. The incident occurred within the last 300 days, AND
    4. You feel the incident violates the City of Somerville's Human Rights Policy OR the Federal Civil Rights Act of 1964.

    It is necessary for the RSJ Department to be able to contact you in order to follow up on your request. Please provide the following information.   


    You can submit an anonymous complaint. Please note that if you do not provide contact information, RSJ will be unable to follow up with you concerning the investigation of your complaint. 


    If you do not want to provide your contact information, you may also submit the contact information of someone that can represent or advocate for you.   

     
    The information you provide related to the complaint is confidential and RSJ will not release it to the public

  • Contact Information

    How should we contact you to follow up on this complaint?
  • Format: (000) 000-0000.
  • How should we contact you?
  • Complaint Information

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  • Language

  • What is your primary or preferred language(s)?
  • Signature

  • Thank you for submitting your complaint. The RSJ Department will acknowledge receipt of your complaint and follow up within two to three business days.

     

    Persons with disabilities who need auxiliary aids and services for effective communication (i.e., CART, ASL), written materials in alternative formats, or reasonable modifications in policies and procedures in order to access the programs, activities, and meetings of the City of Somerville should contact the ADA Coordinator in advance at 617-625-6600 x 2059 or ADA@somervillema.gov.

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