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IDHR Forms 

 

The following IDHR forms are available in “PDF” format.  Viewing “PDF” files requires Acrobat Reader.
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Complainant Information Sheet (CIS):

If you believe that you have been discriminated against in one of the following areas, you need to fill out the appropriate CIS (form) and mail (or fax) it to IDHR in order to file a charge with IDHR.

Charge Processing Forms

Completed charge processing forms with signatures must be mailed or faxed to IDHR to be considered filed.  Emailed forms will not be processed.

Attorney Packet:
Charge filing forms and instructions for attorneys.

Appearance Form:
To enter the appearance of Complainant’s and/or Respondent’s attorney.

Medical Release and Consent Form and Disability Questionnaire for Employment
To consent to the release and use of Complainant's medical documentation,
(Required for Disability Cases) and Information request to a physician regarding a medical condition.

Medical Release and Consent Form and Disability Questionnaire for Housing
To consent to the release and use of Complainant’s medical documentation,
(Required for Disability Cases) and Information request to a physician regarding a medical condition.

Sample Verified Response Form:
A sample format for Respondent to prepare a Verified Response to a charge filed with IDHR.

Voluntary Withdrawal Request Forms:

The Department has several voluntary withdrawal request forms.  The correct form depends on the type of case.

You must submit the correct and complete withdrawal form to the Department.  Forms with different or incorrect text will not be processed.

You will identify which form to use by referring to your charge number and noting the letters in the number.  For example, if you charge number was 2012CA0000, you would use the "CA/SA" withdrawal form.

Click on the letters below that match the letters in your charge number for the correct withdrawal form:

All forms require the correct name for complainant and respondent, charge number(s), signature and date.

 

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