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Submitting a Discrimination Complaint

Los Angeles County Department of Public Social Services is committed to ensuring compliance with Title VI of the Civil Rights Act of 1964. In accordance with the California Department of Social Services (CDSS) Division 21-101 and 21-109, DPSS customers are protected against discrimination in the delivery of program benefits. DPSS staff must not discriminate against any person because of national origin (includes language), color, race, ancestry, ethnic group Identification, age, sex, gender expression, gender identity, sexual orientation, marital status, domestic partnership, medical condition, genetic information, religion, political affiliation, disability, citizenship, immigration status, or any other applicable basis. This also includes the act of retaliation.

How to File a Civil Rights Complaint

Online

You may complete and submit the Online Discrimination Complaint Form

Note: This electronic form is automatically sent to The Civil Rights Section.

In-Person

You may submit the completed PA 607 or GEN 1179 to a DPSS employee at any DPSS office.

All public facing offices have the PA 607 or GEN 1179 available.

Email

You may email the completed PA 607 or GEN 1179  to DPSSCivilRights@dpss.lacounty.gov

Fax

You may fax the completed PA 607 or GEN 1179 to

(562) 692-2240

In Writing

You may mail the completed PA 607 or GEN 1179 to: 

Department of Public Social Services
Civil Rights Section
12860 Crossroads Parkway South
City of Industry, CA  91746

Phone Call

The Civil Rights Discrimination Complaint Hotline: 

(562) 908-8501

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Complaint of Discriminatory Treatment Form

If you believe you have been discriminated against, you may complete and submit the Complaint of Discriminatory Treatment form.

This form is available in the following languages (the following forms will go to your downloads folder):

PA 607 Armenian | PA 607 Cambodian | PA 607 Chinese | PA 607 English | PA 607 Farsi | PA 607 Korean | PA 607 Russian | PA 607 Spanish | PA 607 Tagalog | PA 607 Vietnamese | PA 607 English Large Print 

Additionally, you may use the following CDSS form to file your complaint (the following forms will open in a new tab): 

GEN 1179 Arabic | GEN 1179 English | GEN 1179 Hindi | GEN 1179 Hmong | GEN 1179 Japanese | GEN 1179 Lao | GEN 1179 Mien | GEN 1179 Portuguese | GEN 1179 Punjabi | GEN 1179 Thai | GEN 1179 Ukrainian

ADA Complaint Form

If you believe you have been discriminated against due to a disability, you may complete and submit the ADA Complaint form.

This form is available in the following languages (the following forms will go to your downloads folder):

ADA PUB 1 Armenian | ADA PUB 1 Cambodian | ADA PUB 1 Chinese | ADA PUB 1 English | ADA PUB 1 Farsi | ADA PUB 1 Korean | ADA PUB 1 Russian | ADA PUB 1 Spanish | ADA PUB 1 Tagalog | ADA PUB 1 Vietnamese