Intake Questionaire

Thank you for filling out this Intake Questionnaire from the Seattle Office for Civil Rights (SOCR). This form provides us with information we can use to help us serve you. It is not a formal complaint. Once we receive your completed questionnaire, we will review it and then contact you for more information.

You can also email us at OCR_Intake@seattle.gov or call 206-684-4500.

To avoid delays in processing, please submit only one Intake Questionnaire to SOCR (either by mail, online, or in person) regarding the same matter.

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Who can we contact if we are unable to reach you?