Intake Questionnaire

+ To begin the process of filling out an employment IQ

Please read the following questions carefully. Then read the instructions below.
 

  1. Are you or have you been an employee of a company in Rhode Island or are you seeking employment in Rhode Island?

  2. Did the alleged discriminatory act occur less than one year ago?

  3. Do you think you were discriminated against because you are a member of a protected class? (To see a list and descriptions of the protected classes, click here)?

  4. Are other individuals not in your protected class treated in a different manner?

If you have answered "yes" to all of these questions, Click here to download a copy of our Intake Questionnaire in English | Click here to download a copy of our Intake Questionnaire in Spanish

If you have answered "no" to any of these questions or are unsure of any of the answers, you may still be able to file a charge. Please call the Commission. Voice: (401) 222-2662    TDD: (401) 222-2664

+ To begin the process of filling out a housing IQ

Please read the following questions carefully. Then read the following instructions.
 

  1. Have you experienced problems when looking for housing in Rhode Island or have you experienced problems with your current dwelling?

    2.  
  2. Did the alleged discriminatory act occur less than one year ago?

    3.  
  3. Do you think you were discriminated against because you are a member of a protected class? (To see a list and descriptions of the protected classes, click here)?

    4.  
  4. Are other individuals not in your protected class treated in a different manner?

    5.  

If you have answered "yes" to all of these questions, Click Here to download a copy of our Intake Questionnaire in English | Click Here to download a copy of our Intake Questionnaire in Spanish.

If you have answered "no" to any of these questions or are unsure of any of the answers, you may still be able to file a charge. Please call the Commission. Voice: (401) 222-2661    TDD: (401) 222-2664

+ To begin the process of filling out a credit IQ

Please read the following questions carefully. Then read the instructions below.
 

  1. Have you sought credit in Rhode Island or is the complaint with your current credit situation in Rhode Island?
     
  2. Did the alleged discriminatory act occur less than one year ago?
     
  3. Do you think you were discriminated against because you are a member of a protected class? (To see a list and descriptions of the protected classes, click here)?
     
  4. Were other individuals not in your protected class treated in a different manner?

If you have answered "yes" to all of these questions, Click here to download a copy of our Intake Questionnaire in English| Click here to download a copy of our Intake Questionnaire in Spanish

If you have answered "no" to any of these questions or are unsure of any of the answers, you may still be able to file a charge. Please call the Commission. Voice: (401) 222-2662    TDD: (401) 222-2664

+ To begin the process of filling out a public accommodations IQ

Please read the following questions carefully. Then read the instructions below.
 

  1. Have you been denied equal access to a public facility or have you been denied equal treatment at a public facility?

  2. Did the alleged discriminatory act occur less than one year ago?

  3. Do you think you were discriminated against because you are a member of a protected class? (To see a list and descriptions of the protected classes, click here)?

  4. Were other individuals not in your protected class treated in a different manner?

    5.  

If you have answered "yes" to all of these questions, Click here to download a copy of our Intake Questionnaire in English| Click here to download a copy of our Intake Questionnaire in Spanish

If you have answered "no" to any of these questions or are unsure of any of the answers, you may still be able to file a charge. Please call the Commission. Voice: (401) 222-2661    TDD: (401) 222-2664

+ To begin the process of filling out a delivery of services discrimination IQ (disability only)

Please read the following questions carefully. Then read the instructions below.
 

  1. Do you have a physical or mental disability?

  2. Did the alleged discriminatory act occur less than one year ago?

  3. Did the alleged act of discrimination take place in Rhode Island?

  4. Do you think you were discriminated against because you have a disability?

  5. Are other individuals who do not have a disability treated in a different manner?

    6.  

If you have answered "yes" to all of these questions, Click here to download a copy of our Intake Questionnaire in English| Click here to download a copy of our Intake Questionnaire in Spanish

If you have answered "no" to any of these questions or are unsure of any of the answers, you may still be able to file a charge. Please call the Commission. Voice: (401) 222-2661    TDD: (401) 222-2664

+ To begin the process of filling out a retaliation IQ

Please read the following carefully. Then read the instructions below.

If you feel you have been retaliated against, you may file a charge with the Commission.  The state laws enforced by the Commission do not apply to any/all forms of retaliation. If you feel you have been retaliated against because you have engaged in any of the following activities, your claim may be jurisdictional with the Commission:

  1. You made or filed a charge of discrimination;
     
  2. You testified or assisted in any manner in any investigation, hearing, or proceeding related to employment, housing, public accommodations, credit or delivery of services discrimination;
     
  3. You otherwise attempted to address or oppose unlawful discrimination in employment, housing, public accommodations, credit or delivery of services (either on behalf of yourself or another).

If you feel you have been retaliated against in employment, download the IQ here in English | here in Spanish

If you feel you have been retaliated against in housing, download the IQ here in English | here in Spanish

If you feel you have been retaliated against in credit and lending, download the IQ here in English | here in Spanish

If you feel you have been retaliated against in public accommodations, download the IQ here in English | here for Spanish

If you feel you have been retaliated against in delivery of services, download the IQ here in English | here in Spanish

If you are still not sure that you are protected under our laws, please contact the Commission with any questions you may have at (401) 222-2661 or for TDD: (401) 222-2664.