[DC GOVERNMENT] DC_Taxi_and_Vehicle-for-Hire_Complaint

Section 1 of 1 in this document

DC Taxi and Vehicle-for-Hire Complaint Form

Use this form to file a complaint with the DC Office of Human Rights (OHR) and the Department of For-Hire Vehicles (DFHV) about a vehicle-for-hire trip in the District of Columbia. OHR has jurisdiction over discrimination in public accommodations such as vehicles-for-hire, and DFHV has jurisdiction over vehicles-for-hire which are licensed in Washington, DC. OHR and DFHV will investigate the incident independently.

Complainant Information

Preferred Name

Phone Number

Vehicle and Driver Information

Provide as much information about the taxicab and driver as you can. Missing information may prevent the Department from identifying the driver and resolving your complaint.

Company's Name

License Plate

Taxicab Number

Driver's license and identification card

Driver's name (if known)

Trip Information

Stops made en route

En route stop address

Departure time

Taxi: Hailed, Dispatch or App

Hailed

Dispatched

If App:

DC Taxi

Uber

Lyft

Other

If Other (name)

Transport DC:

Yes

Total Passengers

Fare paid to driver

Fare receipt (Scan and upload as PDF or word document)

Section II

Please answer the question below to file a complaint of discrimination with the DC Office of Human Rights:

Do you believe you were discriminated against by a driver or company because of one of the protected traits below?

Yes

Section III

Details about the incident, additional information, comments or concerns, including why you believe it was discrimination-related (if discrimination alleged):

Videos/photo of incident (if obtained):

Reasonable accommodation or language interpretation (if necessary):

Electronic signature (Full Name) *

Date:

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DC Taxi and Vehicle-for-Hire Complaint Form

Full Address

Origin Address

Destination address

Trip date