Official Site of The State of New Jersey

To file a complaint regarding Equal Employment Opportunity or Ethics matters, please complete and submit the form below.

The EEO Officer/ ELO will review the complaint and respond accordingly as soon as possible.

Complaint Form

Complainant (Person Filing the Complaint)

Anonymous?

NoYes

First Name

*

Last Name

*

Email Address

**

Phone Number

*

Position

*

Employment Status

Division

*

Supervisor

*

Respondent (Person this Complaint is Filed Against)

Is Respondent Known?

NoYes

Description of Respondent

*

First Name

*

Last Name

*

Email Address

**

Phone Number

*

Position

*

Employment Status

Division

*

Supervisor

*

Incident

Date of Incident

*

Type of Complaint

Basis for Complaint

Location

*

Description of Incident

*

Files

*