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University of Iowa Committee on Human Rights policies, 1958-1986

Instructions for Filing a Complaint of Discrimination Page 2

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Complaint Before The University of Iowa Committee on Human Rights Date: ________________________ Name: ________________________ Address: ________________________ Telephone No.: ________________________ I hereby file this complaint based on what I believe to be an act of discrimination performed against me because of my: A. Race B. Creed C. National Origin D. Religion E. Color F. Sex G. Ancestry I further state that this act of discrimination occurred on University property on the ___________ day of _________, 19_____, and that the act of discrimination consisted of the following: ________________________________________________________________________
 
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