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Contact IDHR for Services or Follow-Up

Investigation Forms

Complaint Form - To File a Charge

If you believe that you have been discriminated against in one of the following areas, you need to fill out the appropriate Complainant Information Sheet (CIS) form and submit it to IDHR - via email, mail, or fax - to file a charge of discrimination with IDHR. Select the area in which you have experienced discrimination to access the CIS form and more information.

Please save the form, complete and submit via email to IDHR.Intake@illinois.gov. You may also mail your completed form to the Department's address listed on the bottom of the form.

If you encounter issues opening and viewing an IDHR form, review instructions on using PDF forms on our website.

Charge Processing Forms

Attorney Packet:
Charge filing forms and instructions for attorneys.

Appearance Form:
To enter the appearance of Complainant’s and/or Respondent’s attorney.

Medical Release and Consent Form and Disability Questionnaire for Employment
To consent to the release and use of Complainant's medical documentation, and Information request to a physician regarding a medical condition.

Medical Release and Consent Form and Disability Questionnaire for Housing
To consent to the release and use of Complainant’s medical documentation, and Information request to a physician regarding a medical condition.

 

Sample Formal Response:
A sample format for Respondent to prepare a Formal Response to a charge filed with IDHR.

Opt-Out Request Forms

Opt Out Request Form *(non-Housing Cases)
To request a Notice of Opt Out of IDHR's investigation and Administrative Process, and of Right to Commence an Action in Circuit Court. If the IDHR charge number includes an 'A', 'E', 'F' or 'L' the charge is cross-filed with the EEOC and the EEOC charge number is needed for the Opt Out Request Form. If you do not know (or do not have available) the cross-filed EEOC charge number, call (312) 814-4294 or email IDHR.optouts@illinois.gov. (Must be requested within 60 days of information notice).

Opt Out Request Form - English

Opt Out Request Form - Spanish
(Solicitud De Exclusion, Español)

* Parties in Housing cases do not require an Opt-Out before filing in court.

Voluntary Withdrawal Request Forms

The Department has several voluntary withdrawal request forms. The correct form depends on the type of case - whether it is Employement related, Housing related, or other.

You must submit the correct and complete withdrawal form to the Department. 

You will identify which form to use by referring to your charge number and noting the letters in the number. For example, if you charge number was 2012CA0000, you would use the "CA/SA" withdrawal form.

Click on the letters below that match the letters in your charge number for the correct withdrawal form:

All forms require the correct name for complainant and respondent, charge number(s), signature and date.

The IDHR forms above are available in “PDF” format. Viewing “PDF” files requires Acrobat Reader. If your PDF reader doesn't open the form, click here to learn more.