This complaint form is for legal intake purposes only and is not a solicitation or an offer by the ACLU of Arizona to represent you. We cannot promise you that the information you provide will lead to any specific action on the part of ACLU-AZ.

If you fill out this complaint form, you agree that ACLU-AZ or the National ACLU may use the information you give us, as long as we don’t include your name, address, email or phone number, for one or more of the following purposes: (1) legislative testimony; (2) litigation; (3) contacting a city, state or federal agency; or (4) telling your story to the public, including the media. If ACLU-AZ or the National ACLU wants to identify you, we will contact you prior to doing so.

We will keep your name, address, telephone number and email confidential unless you give us permission to use it or unless we are ordered to turn it over by a court (although we will attempt to prevent any disclosure).

If you have any documentation to support your claim, please make note of what documentation you have on the form, but DO NOT include it.  We will contact you if we have questions or additional information is needed. 

Your Contact Information: (Información de Contacto)
Complaint Details: (Detalles de la queja)

Please enter the following information about the person or agency you are complaining against. (Favor de escribir la siguiente información acerca de la persona o agencia de la cual se queja.)

Date of Incident: (Fecha del incidente)
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