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Step One

AURORA HUMAN RELATIONS COMMISSION COMPLAINT FORM
This form will be used by the City of Aurora Human Relations Commission to investigate discrimination complaints. The Aurora Human Relations Commission operates under Chapter 22 of the City of Aurora Municipal Code.
Instructions: Please complete the form to the best of your ability using the space provided. If necessary, you may attach additional page(s) to this form.
Online Form: This form is also available on-line in English and Spanish. Using that form, you can submit a video statement with your complaint.
First Name:*
Your First Name
Last Name:*
Your First Name
Address:*
Address
City:*
City
State:*
Zip Code:*
Zip Code
Business or other Address:
Please enter any other address - Street, City, State, Zip
Phone Number:
Primary Phone
Other Phone:
Other Phone
Email Address:
Vaild Email address
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Step Three

Please tell us what happened and why you believe you were discriminated against.
Clearly share how you think discriminated took place in the space provided below and be as specific as possible. For instance, list the date and time of day, all persons present, and any specific things that occurred or language used. If necessary, you may attach additional information to this form.
Specific Complaints
Specific complaints provide information and details to support your complaint.
Example
On December 5, 2021, at about 3 in the afternoon, I went to the office at 123 Main Street. John Smith told me they don’t rent to “people like me”. My friend Jane Doe was with me and there were several other people in the office.
I think I was discriminated against because I am…
Non-Specific Complaints
Non-specific complaints are difficult to investigate and may be dismissed because of lack of allegation or evidence.
Example
I visited the office and they told me they wouldn’t help, and they treated me very badly.
Describe what happened*
2) What is the most recent date on which the alleged discrimination occurred? *
2) What is the most recent date on which the alleged discrimination occurred?
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Step Four

Please share any steps already taken, if any, concerning this matter. (for example, “talked to my union representative,” “talked to a lawyer,” “filed a complaint with the Illinois Dept. of Human Rights”, etc.)*
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature*
Date*
Date
The Human Relations Commission will contact you to confirm receipt of this form. If you are not contacted within two (2) weeks of submission, please contact the Chairperson at 630-256-3007.
After the complaint is received, the Commission will investigate the complaint. You and/or the person/organization against whom the complaint is being made may be contacted in an attempt to resolve the complaint.
If the complaint is not resolved by the investigation and if the Commission believes that discrimination may have taken place, a public hearing may be called by the Human Relations Commission to resolve the complaint.
If the issue is not resolved at the public hearing, the Commission may continue to investigate.
The Commission will reach a final decision regarding the complaint and will report its decision to you.
Information on this form will be kept confidential by the Human Relations Commission while the complaint is being investigated. Please note this form and any investigative materials and/or reports will be released upon proper request subject to the Illinois Freedom of Information Act or valid court order.

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1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Aurora Human Relations Commission Complaint Form

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