Equal Opportunities Commission

Complaint Form

Note: Fields marked with an asterisk (*) are required.

Particulars of aggrieved person

* I would like to lodge a complaint of discrimination under the following Discrimination Ordinance(s):

Disability

Family Status

Race

Sex (including Sex, Marital Status, Pregnancy & Breastfeeding Discrimination, Sexual Harassment)

Title

* English Name

Chinese name

* ID card / Passport no.

First four digits (without the English alphabet)

* Contacts

Remarks:

Please provide all of the following means of contact if possible to facilitate our follow-up work. Providing accurate contact details will enable us to follow up with you promptly and effectively.
If more than one mode of written communication is provided, please indicate your preferred mode of written communication in the option below.
If you need an acknowledgement and a copy of the submitted online form, please provide your email address and indicate email as your preferred mode of written communication in the appropriate field on the form. If you authorise a representative and provide the representative’s email address and indicate email as the preferred mode of written communication, we will send the acknowledgment and a copy of the submitted form directly to the representative.

Phone no.

Email address

Correspondence address

Preferred mode to written communication (if applicable)

Representative:

I would like to appoint an authorised representative.

Particulars of authorised representative

I hereby appoint the following person as my representative to assist me in handling my complaint.

Title

Name

Chinese name

Reason(s) to appoint an authorised representative

Relationship

eg. Friend, Legal Representative, Relatives, Employer-Employee, Colleagues, Spouse

* Contacts

Remarks:

Please provide all of the following means of contact if possible to facilitate our follow-up work. Providing accurate contact details will enable us to follow up with you promptly and effectively.
If more than one mode of written communication is provided, please indicate your preferred mode of written communication in the option below.
If you need an acknowledgement and a copy of the submitted online form, please provide your email address and indicate email as your preferred mode of written communication in the appropriate field on the form.

Phone no.

Email address

Correspondence address

Preferred mode to written communication (if applicable)

Particulars of respondent

Please fill out a separate complaint form for each party complained against.

* Name of party complained against

Phone no.

Email address

Correspondence address

The complaint

* Please state your allegation(s). (Please include any concerned person(s), date, time, location, incident and effects on you.)

The information provided by the aggrieved person in this complaint form is true to the best of the person's knowledge.

Any supporting documents?

(Up to 3 attachments, only files in pdf, jpg, jpeg, png and gif formats can be accepted. File size of each attachment should not exceed 4 MB.)

Choose file for File 1

Choose file for File 2

Choose file for File 3

Any special requests?

(e.g. Mail should be sent to me by registered mail)

Authorisation

* Please check the boxes:

I understand that by submitting this complaint form, my statement of complaint and/or supplementary information may be passed to the respondent for information and response where necessary.

I authorise the Equal Opportunities Commission to obtain information from the respondent to facilitate the handling of my complaint(s) lodged under the Sex/ Disability/ Family Status/ Race Discrimination Ordinance.

I have read and understood the "Points to Note" and allow the EOC to use my personal data collected in accordance with the purposes specified above, and that the EOC may disclose personal information collected to parties relevant to the complaint, or transfer it to authorised person(s).