Please use this form to report concerns about Florida Whistle-Blower Retaliation in the workplace. The Florida Commission on Human Relations (FCHR) will use this information to determine if your complaint can be investigated under the Florida Whistle-blower’s Act.

Completing and submitting the form online is voluntary. You may also choose to send your complaint by mail, email, or fax—if it includes all required information.

The FCHR may share the information provided on this form with other government agencies if it is necessary to support the investigation or if there is reason to believe a law has been violated. All information produced or derived from the FCHR’s investigation is confidential and exempt while the investigation is active.

Please provide complete and thorough responses to all questions. If you do not know an answer, write “not known”. If a question does not apply to you, write “N/A”. Incomplete forms may delay the review and processing of your complaint.

Important Deadline: You must file your complaint within 60-days from the date the unfair treatment happened.

COMPLAINT FORM