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Civil Rights Law Questionnaire

Please complete the entire civil rights law questionnaire form right away. Understand we cannot take any formal action to represent you unless and until we enter a formal written agreement. Required information is marked with an asterisk (*).

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Personal Information

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Describe in detail the events that gave rise to your claim. Explain the nature of the harm you believe you have suffered and the dates of the harm.
Have you filed administrative charges relating to your claim OCR, EHOC, the EEOC and/or the Missouri Commission on Human Rights or Illinois Department of Human Rights or any other administrative agency?*
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    Disclaimer

    This Web page provides general information only and cannot be relied upon as legal advice. Laws change over time and differ from State to State. Applicability of the legal principles discussed may differ substantially in individual situations. You should consult an attorney about your particular situation. This site is not intended to be advertising, and our firm does not wish to represent anyone who wishes us to represent them based upon a review of this site if the site does not comply with the rules of that legal jurisdiction.
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