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Race Discrimination

Complete the detailed race discrimination form

Race Discrimination

Please complete the form below outlining the discrimination you have unlawfully suffered because of your race. If you would prefer to discuss the circumstances of your racial discrimination with one of our employment specialist solicitors and lawyers in confidence, please phone 0800 3899 096.

Personal Details

First name ^*

Surname ^*

Address

Telephone number

Best time to call?

Email address ^*

Date of birth (dd/mm/yyyy)

Discrimination Details

In what way do you believe that you have been discriminated against on the basis of your race? ^*

When did the last act of discrimination occur? ^*

Have you raised a grievance in relation to the discrimination that you believe you have suffered? Yes
No

Have you already commenced Tribunal proceedings? Yes
No

Please ensure that you have completed all the required fields (marked with *) and then click submit to send the form.

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