Site Map |

Search Human Rights Commission:

COMMISSION INFORMATION

• About Us
• What's New
• Meetings & Minutes
• Reasonable Grounds Decisions & Reports
• File a Charge
  • Instructions for Intake Form
  • General Intake Form
  • Disability Intake Form
  • Housing Intake Form
• Laws & Regulations
• Publications
• FAQ

Instructions for Intake Form

Fill out the intake form as completely as possible.  Use the comment area to explain exactly what happened to you. Be specific with all names and dates.

NOTE: Completing this Intake Questionnaire does not mean that a Charge of Discrimination has been filed.  After we receive the information you provide, the Intake Officer will either type a Charge of Discrimination and send it to you for your review and notarized signature or, if the information is not sufficient to draft a charge, call you to discuss your allegations further.

A CHARGE OF DISCRIMINATION IS FILED WITH THE MAINE HUMAN RIGHTS COMMISSION WHEN A SIGNED, NOTARIZED COMPLAINT FORM IS RECEIVED BY THE COMMISSION.  SIGNED, NOTARIZED COMPLAINTS MUST BE RECEIVED BY THE COMMISSION WITHIN SIX (6) MONTHS OF THE ALLEGED ACT OF DISCRIMINATION.

NOT ALL DISCRIMINATION IS UNLAWFUL! The Maine Human Rights Act makes it unlawful to discriminate in the following areas for the following reasons:

EMPLOYMENT	HOUSING	ACCESS TO PUBLIC ACCOMMODATION	CREDIT EXTENSION	EDUCATION
Age	--	--	Age	--
Ancestry	Ancestry	Ancestry	Ancestry	--
National Origin	National Origin	National Origin	National Origin	National Origin
Race	Race	Race	Race	Race
Color	Color	Color	Color	--
Religion	Religion	Religion	Religion	--
*Sex	Sex	Sex	Sex	Sex
Sexual Orientation	Sexual Orientation	Sexual Orientation	Sexual Orientation	Sexual Orientation
Mental disability	Mental disability	Mental disability	--	Mental disability
Physical disability	Physical disability	Physical disability	--	Physical disability
Worker’s Comp Retaliation for filing with previous employer only.	**Receipt of Public Assistance	Children (lodging only)	Marital Status	--
Whistleblower’s Retaliation	Familial Status	--	--	--
Genetic Predisposition	--	--	--	--

Retaliation:  The Maine Human Rights Act prohibits retaliation against any individual who has opposed any practice which would be a violation of the Act,

or because the individual has made a charge, testified or assisted in any manner in any investigation proceeding or hearing under the Act.

* Note:  Sexual harassment is a form of sex discrimination.

**Note: Receipt of Public Assistance means status as a recipient of federal, state or local public assistance

(Revised January 2006)

Maine.gov | Commission Home | Site Policies