Charge Form

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Individuals who believe they have suffered discrimination and want to file a Charge may mail or fax a completed Charge form to:

Office of Special Counsel for Immigration-Related Unfair Employment Practices, Civil Rights Division
US Department of Justice
950 Pennsylvania Avenue, NW
Washington, DC 20530
Phone: (202) 616-5594
Fax: (202) 616-5509

You also have the option of completing the English (Fillable) Charge form electronically, printing and signing it, and then sending it as an email attachment to

Click on the Adobe icon to download an Adobe Acrobat (PDF) version of each item. OSC charge forms are available in English, Spanish, and Chinese. To view and print these forms, you need to download and install Adobe Acrobat.

PDF IconEnglish
PDF IconEnglish (Fillable)
PDF IconSpanish
PDF IconChinese

Worker Hotline: 1-800-255-7688 • Employer Hotline: 1-800-255-8155

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Updated August 6, 2015

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