Edit, Download, and Sign the IRS Civil Rights Complaint Form Instructions

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How do I fill this out?

Begin by providing your personal contact information. Then, give details about the person or entity you believe discriminated against you, and specify the basis for the discrimination. Follow with additional details about the incident, preferred contact method, and any special accommodations needed.

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How to fill out the IRS Civil Rights Complaint Form Instructions?

  1. 1

    Provide your personal contact information.

  2. 2

    Detail the entity or person who discriminated against you.

  3. 3

    Specify the bases of discrimination.

  4. 4

    Describe the incident in detail.

  5. 5

    Indicate your preferred contact method and accommodations.

Who needs the IRS Civil Rights Complaint Form Instructions?

  1. 1

    Individuals who believe they have been discriminated against by the IRS need to file this form.

  2. 2

    IRS employees or contractors who experienced or witnessed discrimination need this form to report the incident.

  3. 3

    Volunteers at IRS-affiliated programs should use this form to file a complaint about discrimination.

  4. 4

    Lawyers or legal organizations filing on behalf of clients who faced discrimination need this form.

  5. 5

    Healthcare providers assisting patients who experienced discrimination in IRS programs should use this form.

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  1. 1

    Open the IRS Civil Rights Complaint form in PrintFriendly's PDF editor.

  2. 2

    Edit your personal information sections.

  3. 3

    Detail the discriminatory event in the provided fields.

  4. 4

    Fill in the contact preferences and accommodation needs.

  5. 5

    Save the edited PDF once all changes are made.

What are the instructions for submitting this form?

Submit the completed IRS Civil Rights Complaint form and Consent Form by mailing to: Operations Director, Civil Rights Division, Internal Revenue Service, 1111 Constitution Avenue, NW Room 2413, Washington, DC 20224. Ensure all information is accurate and the consent form is signed before submission.

What are the important dates for this form in 2024 and 2025?

Important dates for filing this form include within 180 days of the alleged discrimination incident. Requests for waivers due to late filing must be explained in detail.

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What is the purpose of this form?

The purpose of the IRS Civil Rights Complaint Form is to provide a structured way for individuals to report incidents of discrimination they believe occurred during interactions with IRS services or programs. The form collects detailed information about the complainant, the incident, and the accused party to facilitate a thorough investigation. By using this form, complainants ensure that their allegations are clearly communicated and that the IRS has all the necessary information to proceed with an investigation. Additionally, the form helps the IRS track and address patterns of discrimination, promoting equity, diversity, and inclusion within their programs and services.

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Tell me about this form and its components and fields line-by-line.

The form collects various types of information necessary for filing a civil rights complaint.
fields
  • 1. Personal Information: Includes name, address, telephone, and email.
  • 2. Discriminating Party Information: Details about the person or entity accused of discrimination.
  • 3. Basis of Discrimination: Categories like race, color, national origin, sex, age, disability, and others.
  • 4. Incident Details: Dates, description of what happened, and why it is considered discrimination.
  • 5. Contact Preferences: How the complainant prefers to be contacted.
  • 6. Accommodations: Special accommodations needed for communication, such as Braille or TDD/TTY.
  • 7. Remedy Sought: What the complainant seeks as a remedy for the discrimination.
  • 8. Consent: Consent to disclose the complainant’s identity if necessary for investigation.

What happens if I fail to submit this form?

Failure to submit this form may result in the discrimination complaint not being investigated.

  • No Investigation: The complaint will not be investigated, and discriminatory acts may go unaddressed.
  • Missed Remedies: Any potential remedies or corrective actions will not be pursued.
  • Rights Unprotected: The complainant's civil rights may remain unprotected without formal filing.

How do I know when to use this form?

Use this form when experiencing discrimination in IRS programs or activities.
fields
  • 1. Experienced Discrimination: File when you personally experienced discrimination by IRS personnel.
  • 2. Witnessed Discrimination: Use this form to report observed discrimination against others in IRS programs.
  • 3. Assisting Someone: File on behalf of someone requiring assistance with a discrimination complaint.
  • 4. Retaliation Complaints: Also, use the form if facing retaliation for previously filing a complaint.
  • 5. Request Waivers: Request a time filing waiver if the most recent incident was over 180 days ago.

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What information do I need to fill out this form?

You need your personal contact details, information about the discriminatory event, and the basis of the discrimination.

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