Office of Human Rights Forms: English and Spanish
Forms
English
- Denial Of Any Government Assistance Or Programs
Online Form – Printable Form
Submit this for discrimination issues if you believe you have been unlawfully denied access to or participation in programs services or activities provided by Pinellas County.
- Florida State Courts System Accommodation Form
Request this for reasonable accommodations if you are a defendant, litigant/party, witness, juror, victim or attorney. Submit this completed form at least seven days before your scheduled court appearance or other court activity.
- Florida State Courts System Interpreter Request Form
Request for interpreter if you are a defendant, litigant/party, witness, juror, victim or attorney. Submit this completed form at least seven days before your scheduled court appearance or other court activity.
- Wage Theft and Recovery Complaint Form
Submit a complaint form for wage theft and recovery.
- Employment Discrimination Questionnaire
Submit this form to file a claim of employment discrimination based on any of the following: race, color, religion, sex, sexual orientation, national origin, age, marital status and/or disability.
- Housing Discrimination Questionnaire
Submit this form to file a claim of housing discrimination based on any of the following: race, color, religion, sex, sexual orientation, national origin, familial status, and/or disability.
- Public Accommodations Discrimination Questionnaire
Submit this form to file a claim of public accommodations discrimination based on any of the following: race, color, religion, sex, sexual orientation, national origin, age and/or disability.
Español
- Formularios de admision de empleo (Employment Intake Form)
- Formularios de admision de vivienda (Housing Intake Form)
- Informacion sobre el programa de robo salarial (Wage Theft Program)
- Declaración jurada para denunciar el robo de salarios (Wage Theft form)
- Envíe un Cuestionario sobre Discriminación en el Acceso a Lugares Públicos (Public Accommodations Discrimination Form)