Civil action includes any action within the jurisdiction of a magisterial district judge except an action by a landlord against a tenant for the recovery of the possession of real property. As used in this chapter, ‘‘complaint’’ or Civil Action shall include, where applicable, the attached and completed Civil Action Hearing Notice.
Complaint RequirementsYour complaint must:. Be filed in writing by mail, fax, e-mail, or via the. Name the health care or social service provider involved, and describe the acts or omissions, you believe violated civil rights laws or regulations. Be filed within 180 days of when you knew that the act or omission complained of occurred. OCR may extend the 180-day period if you can show 'good cause'File a Civil Rights Complaint OnlineOpen the and select the type of complaint you would like to file.Complete as much information as possible, including:. Information about you, the complainant.
Details of the complaint. Any additional information that might help OCR when reviewing your complaintYou will then need to electronically sign the complaint and complete the consent form. After completing the consent form you will be able to print out a copy of your complaint to keep for your records File a Civil Rights Complaint in WritingFile a Complaint Using the Civil Rights Discrimination Complaint Form PackageOpen and fill out the in PDF format. You will need Adobe Reader software to fill out the complaint and consent forms. You may either:. Print and mail the completed complaint and consent forms to:Centralized Case Management OperationsU.S. Department of Health and Human Services200 Independence Avenue, S.W.Room 509F HHH Bldg.Washington, D.C.
20201. Email the completed complaint and consent forms to (Please note that communication by unencrypted email presents a risk that personally identifiable information contained in such an email, may be intercepted by unauthorized third parties)File a Complaint without the Civil Rights Discrimination Complaint Form PackageIf you prefer, you may submit a written complaint in your own format by either:. Mail toCentralized Case Management OperationsU.S. Department of Health and Human Services200 Independence Avenue, S.W.Room 509F HHH Bldg.Washington, D.C.