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Community Relations

700 Parkwood Ave. Charlotte, NC 28205


Housing Discrimination Complaint Form

The Complainant below charges the Respondent named below with a violation of the Charlotte Fair Housing Ordinance (Chapter 12, Article V of the Code of the City of Charlotte), or the Mecklenburg County Fair Housing Ordinance. Please only enter the minimal information concerning your complaint.





NOTE: It is a violation of the law to deny you housing rights for any of the following factors: race, color, religion, sex, national origin, disability or familial status (being pregnant or having children under the age of 18 years old).

Why do you believe you were discriminated against? Which factor do you believe contributed to you being denied housing, financing, or being harassed?

Who do you believe discriminated against you? Please provide their name.

What is their address (include city, state, zip code)?

What position does this person hold?

Where did the alleged act of discrimination occur?

Provide the address where the alleged discrimination occurred (including city, state, zip).

On what date did the last act of discrimination occur?

Date Picker

Is the alleged discrimination continuous and/or ongoing?

Have you filed a complaint with any other business, organization, court, or governmental organization?

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I swear or affirm that I have read this complaint (including any attachments) and that it is true to the best of my knowledge information or belief.

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NOTE:  Additional details will be collected by the investigator assigned to your case.  The CRC will provide a copy of this complaint to the individual(s) or organization(s) against whom your complaint was made.

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Subscribed and sworn to before me this date:


Notary Public:


Date of Expiration of Commission:

This complaint is received for investigation on this date:


Charlotte-Mecklenburg Community Relations Committee, Director: