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NAACP Legal Redress  Discrimination Complaint Form
The NAACP Baltimore County Branch does not provide legal representation or legal advice. The Legal Redress Committee is comprised of volunteers that investigate allegations of discrimination which occurred in Baltimore County, MD in order to determine, what if any advocacy support can be provided by the NAACP Baltimore County Branch.  We only investigate complaints that occurred in Baltimore County, MD.  However, we may provide legal information and referrals to other organizations that may provide the assistance needed. For official legal advice, you should consult a local attorney.
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First Name *
Last Name *
Full Mailing Address (so we can respond to you via mail) *
Phone Number *
Email Address *
LOCATION OF DISCRIMINATION OCCURRENCE
Where did this act of discrimination occur?  The Baltimore County Branch Legal Redress Committee is comprised of volunteers that investigate allegations of discrimination that occurred in Baltimore County, MD.  We only investigate complaints occurring in Baltimore County, MD.    

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Type Of Discrimination *
What was the discrimination based on?
Required
Date of Occurrence
What date did the discrimination take place?
*
MM
/
DD
/
YYYY
Time Of Occurrence
What time did the discrimination occur?
Time
:
Please Explain the Incident of Discrimination
Provide sufficient details explaining the incident of discrimination and your request of the NAACP Baltimore County Branch
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Entity of the Discrimination *
Name
Please provide the name of the person that acted against you
*
Phone Number
Please provide a phone number to contact the person who acted against you
Have you filed a Grievance with a government agency?
Clear selection
Have you filed a Grievance with your Union?
Clear selection
Have you retained an attorney for your case?
Clear selection
Attorney’s Full Name
Attorney’s Mailing Address
Attorney’s Phone Number
Attorney’s Email Address
Are you seeking any support for your individual complaint or support for the widespread issue?
Clear selection
Are you an NAACP member? *
Membership # and/or Branch Affiliation
Submit
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