History Details
Equal Opportunity Regulations 1986
11 November 1998 - 22 March 2001

Schedule 1
[Regulation 2]
FORM 1

EQUAL OPPORTUNITY COMMISSION

(Agent for the Human Rights Commission)

COMPLAINT/ENQUIRY FORM

Complete Parts A and B.

After speaking with a Conciliation Officer, complete Part C and return the whole form to the Equal Opportunity Commission.

PART A
Name:...............................................................................................................
Address:............................................................................................................
...............................................................................Postcode............................
Telephone: (0 ) .................................... H (0 )...........................................W
I am complaining about:
Name of Person/Company/Organisation: ........................................................
..........................................................................................................................
Address: ...........................................................................................................
Telephone: (0 ) ............................................H
Date of alleged discrimination: .......................................................................
Ground of alleged discrimination (Please tick)

    ¾ Race
    ¾ Sex
    ¾ Marital Status
    ¾ Political Conviction
    ¾ Religious Conviction
    ¾ Other (Please specify)
PART B
Set out the details of the alleged discrimination.
Enclose any documents, letters or notices that relate to your statement. Your statement may be written in any community language.
..........................................................................................................................
..........................................................................................................................
..........................................................................................................................
President.
President.
In the matter of an application
In the matter of an application
by
for further exemption/variation of exemption from the provisions of the Equal Opportunity Act 1984

...............................................................of..............................................................
hereby apply for further exemption/variation of exemption from the following provision of the Equal Opportunity Act ¾

The exemption is sought for the period of..............................................................


File Attachment Icon
Equal Opportunity Regulations 1986 - Schedule.pdf