Human Rights

Online Request for Intake Contact

If you feel you have been discriminated against in the areas of employment, housing, credit or public accommodation based on the any of the listed protected statuses, you may use this form to request that an intake officer contact you to discuss filing a complaint. The intake officer will help you determine if your case is actionable and will assist you in preparing a complaint. If you prefer, you may call our office at (800) 566-9471 (toll-free in New Mexico) or (505) 827-6838 and speak with an intake officer, or you may visit our office in person.

NOTE: Submitting this form does NOT mean that you have filed a complaint with our Bureau. Until you formally file a charge with our Bureau, your contact with our Bureau is completely confidential. Failure to include contact information will result in our office being unable to fulfill your contact request. To request a contact from an intake officer, please fill in the following fields and click the Submit button. You will typically be contacted within two (2) business days from receipt of your request.

Full Name:

Telephone:

Cell Phone #:

Email:

City in which you live:

Contact Preference:

Telephone
E-mail