Discrimination Complaint Form

Please click here to download and complete the EOC Complaint Form.

To contact the Equal Opportunity Commission for any queries / questions, click here.

* indicates a required field

About You

Who do you think has discriminated against you?

(for example, the person or company that employs you, a business or office providing goods or services, the person or organisation providing your accommodation, a school, TAFE or club)

What type of discrimination do you think you have experienced?

Please tick the box or boxes that apply *

Where did it happen? *

When did it happen?

What happened to you?

  • what happened?
  • where it happened?
  • who did it and who was involved?
  • why you think it was discrimination?

Please give us all the dates and other details you remember.

For further information please contact the Commission on (08) 9216 3900, 1800 198 149 (country landline callers only) or TTY (telephone typewriter) 9216 3936, or visit the website www.eoc.wa.gov.au

Further information

Witnesses: Are there other people who can help with the investigation?

Please attach copies of any documents that may help us with our investigation, such as doctor’s certificates, records of conversations, letters or advertisements.
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Is anyone helping you with this complaint?

eg. community worker, union, lawyer or a friend

Survey of Complainants

Purpose of the Survey: By answering the following short questions, you will help the Commission evaluate its services and make changes or modifications to make them better. 
Confidentiality: You will not be identified in any data collected or published by the Commission.

What is your gender?

In which country were you born?

Are you of Aboriginal or Torres Strait Islander origin?

What is the main language spoken at home?

Do you consider yourself to have an ethnic background?

To which age group do you belong?

Which of the following best describes you currently

Do you have a permanent disability