Form HHS-700 Civil Rights Discrimination Complaint

Form HHS-700 Civil Rights Discrimination Complaint

What Is Form HHS-700?

This is a legal form that was released by the U.S. Department of Health and Human Services on October 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HHS-700?
A: Form HHS-700 is a Civil Rights Discrimination Complaint form.

Q: Who can file a Form HHS-700?
A: Anyone who believes they have experienced discrimination based on race, color, national origin, age, disability, or sex in programs or activities that receive federal financial assistance from the U.S. Department of Health and Human Services (HHS) can file a Form HHS-700.

Q: How can I file a Form HHS-700?
A: You can file a Form HHS-700 by completing the form and sending it to the appropriate HHS regional office or the Office for Civil Rights.

Q: What information do I need to provide on the Form HHS-700?
A: You need to provide your personal information, a detailed description of the alleged discrimination, and any supporting documents.

Q: What happens after I file a Form HHS-700?
A: After you file a Form HHS-700, the Office for Civil Rights will review your complaint and may initiate an investigation.

Q: Is there a deadline for filing a Form HHS-700?
A: Yes, you must generally file a Form HHS-700 within 180 days of the alleged discrimination, but there are exceptions to this deadline.

Q: Is there a fee for filing a Form HHS-700?
A: No, there is no fee for filing a Form HHS-700.

Q: What should I do if I need assistance with filing a Form HHS-700?
A: If you need assistance with filing a Form HHS-700, you can contact the Office for Civil Rights for guidance.

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Form Details:

  • Released on October 1, 2017;
  • The latest available edition released by the U.S. Department of Health and Human Services;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HHS-700 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services.

Download Form HHS-700 Civil Rights Discrimination Complaint

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