Public Accommodations Complaint Questionnaire
Answer all of the following questions typing your response in the space given. For questions that ask you to choose an answer from the list, click the box next to the answer you would like to select and a checkmark will appear.
When you’ve finished the questionnaire, check to be sure all questions have been answered and then print the document.
After the form is printed, please mail or fax it to:
The Florida Commission on Human Relations
4075 Esplanade Way Room 110
Tallahassee, FL 32399
The questionnaire must be received by the Florida Commission on Human Relations within 365 days of the date of the alleged violation.