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2. The City of Holland Protection Against Discrimination Ordinance (Chapter 25) was adopted August 19, 2020 and protects from discrimination based on age, race, national origin, color, disability, education, familial status, sex, sexual orientation, gender expression, gender identity, height, marital status, religion, source of income, or weight. These protections apply to employment, housing, public accommodation, and public service. The City also complies with Title VI and Title VII of the Civil Rights Act of 1964. Title VI provides that no person in the United States shall, on the grounds of race, color, national origin (including limited English proficiency) or sex, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity receiving federal financial assistance. Other related statutes have broadened Title VI to include age, low income and disability as protected classes. Title VII prohibits workplace discrimination and harassment on the basis of race, color, national origin, religion, and sex. If you are the victim of an act of discrimination, a hate crime, or bias incident under Title VI, Title VII, or the City of Holland's Protection Against Discrimination Ordinance (Chapter 25), or are witness to such an incident, please submit a complaint in-person, whenever possible. Call the Human Relations Department at 616-355-1322 to schedule an appointment to discuss and file your complaint.

   
   

   You may also file a complaint using this form. We do our best to respond to you within a 24-business hours. Please note, this is a public document and may be subject to disclosure laws according to the Freedom of Information Act. Also, the nature of all complaints are documented in a monthly report used for internal purposes.

4. Title VI
5. Title VII
6. City of Holland Protection Against Discrimination Ordinance
8. Name
10. Email
11. Phone
13. Best Time to Reach:
15. Gender:

    1. Male
    2. Female
    3. Non-Binary
    4. Transgender
    5. Prefer to Self Identify
17. Self Identify Here
19. Type of Incident:*
    -- Select One --DiscriminationHate CrimeBias
21. Date of Incident:*
    Date of Incident:
23. Location of Incident:*
25. Area of Discrimination:*
    -- Select One --Public AccommodationEducationEmploymentHate CrimeHousingLaw EnforcementPublic ServiceBias
27. Type of Discrimination:*
    -- Select One --AgeArrest RecordColorDisabilityFamilial StatusGenetic InformationHeightMarital StatusNational OriginRaceReligionSexSexual Orientation/IdentityWeightOtherEducationSource of Income
31. Involved Parties
    Please list the name of all parties who are being reported to have violated Title VI or VII (as Responding Party role), the name of the party or parties who are being reported as victims (as Complainant role), and any potential witnesses to the event(s). Include any identifiable information about each person that is known to you.
33. Name (or Organization):
35. Role:
    -- Select One --ComplaintResponding PartyWitness
36. Phone:
40. Incident Description:
42. If you are not the complainant/victim, is that person(s) aware that you have submitted this report?*

    1. Yes
    2. No
44. If you are a victim of a hate crime or bias incident, did you report it to the Police Department?

    1. Yes
    2. No
46. If yes, what is the police report number?
48. Supporting Documentation
    Photos, video, email, and other supporting documents may be attached.
50. Would you like us to contact you to schedule an appointment?

    1. Yes
    2. No
Leave This Blank:


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

    This field is not part of the form submission.

54. Submit

* indicates a required field