Discrimination Complaint Form Name * Address * E-mail * Phone * Did this incident take place in Henrico County? If not Henrico County Virginia, please contact your local branch, see our national website for more information www.naacp.org. * Yes No IMPORTANT::::Did this incident occur within the Henrico County Public School System? * Yes No If YES, has a complaint been filed with the teacher, principal, central office or the school board? Yes No IMPORTANT:::: Is your complaint is work related? * Yes No If YES, has a complaint been filed with the supervisor, manager, owner or human resources department? Yes No Date(s) of the incident(s). * Please describe your discrimination complaint with as much detail as possible. (start typing and the box will expand) * Are all details provided true and accurate? * Yes No Do you give permission to the Henrico NAACP to investigate this complaint? * Yes No |Welcome| |Join the NAACP| |Meet the Leadership| |Calendar Of Events| |Discrimination Complaint Form| |Press Releases| |Pictures| |NAACP History| |NAACP Mission| |Other NAACP Sites|