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Dubuque Community City Relations Committee Complaint Form

  1. Please fill in the information below. The form will be electronically submitted to the Human Rights Office. If you have any questions, please call 563.589.4190.

  2. Please be sure to fill in an email address if you prefer to communicate with City staff via email.
  3. Complaint against*
  4. Basis for alleged discrimination (check any you feel apply)*
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  6. This field is not part of the form submission.