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Please use the fillable form below to submit your discrimination complaint.

Title VI complaint form-2018.pdf

After you have entered your complaint into the above form, click the Save and Submit by Email button near the bottom of the form. This saves your completed complaint on your computer and emails it to Gerald Kuhn, Human Rights, and Relations Title VI Coordinator. Or you could print a copy, and then mail it to:

City of Omaha
Human Rights and Relations
Attn: Gerald M. Kuhn, II,Title VI Coordinator 
1819 Farnam Street, Suite 502
Omaha NE 68183

Please give as much detail as possible when completing the above form and if necessary, you may add additional documents supporting your complaint.