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Please complete the form below outlining how you were discriminated against on the basis of your religion or belief. Discrimination on the basis of any religion, religious belief or similar philosophical belief is unlawful, unless being of a particular religion or belief is a genuine and determining occupational requirement for employment.

If you would prefer to speak to one of our employment law specialist solicitors or 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)

What is your religion, religious or philosophical belief? ^*

Discrimination Details

In what way do you believe that you have been discriminated against on the basis of your religion, religious or philosophical belief? ^*

When did the last act of discrimination occur? ^*

Have you raised a complaint or 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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