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City of Sacramento Equal Employment Office

Charge of Discrimination Form

To protect the confidentiality of your complaint, please be advised your charge is submitted directly to the City of Sacramento’s Equal Employment Opportunity Office.   Upon receipt, the EEO Office will keep the complaint confidential to the extent possible for a thorough investigation. If you have any questions, EEO Staff can be reached at (916) 808-5825.

Full Name

Full Address

Indicate the person or persons who discriminated against you.

Work Address

Add another person who discriminated against you.

Work Address

Cause of discrimination is based on (check the appropriate boxes)

Date of most recent act of discrimination

Date Picker

Sign Here (Please note that failure to complete and submit a Charge of Discrimination Form shall not preclude an inquiry/investigation).

Choose how to sign