Complainant Information
Full Address
Vehicle and Driver Information
Trip Information
Origin Address
Destination address
Trip date
Taxi: Hailed, Dispatch or App
If App:
Transport DC:
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?
If you answered “Yes” in the above question, which protected traits do you believe were used to allegedly discriminate against you? *
Section III
Videos/photo of incident (if obtained):
Date: