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Discrimination Complaint

  1. The City of Holland complies with Title VI and Title VII of the Civil Rights Act of 1964. Title VI that 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 racial bias incident under Title VI or Title VII, or are witness to such an incident, please submit a complaint in-person, whenever possible. Call the Human Relations Department at 616-355-1328 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.

  2. Gender:

  3. Involved Parties

    Please list the name of all parties who are being reported to have violated college policy (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.

  4. If you are not the complainant/victim, is that person(s) aware that you have submitted this report?*

  5. If you are a victim of a hate crime or bias incident, did you report it to the Police Department?

  6. Photos, video, email, and other supporting documents may be attached.

  7. Would you like us to contact you to schedule an appointment?

  8. Leave This Blank:

  9. This field is not part of the form submission.