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Equal Status Act Forms

 

Notification to a Service Provider about a Possible Incident of Discrimination (ES.1)

Download Sample Notification Form (ES.1) pdf


Download Sample Notification Form (ES.1) Word document

 

 

Reply by a Service Provider to a Notification about a Possible Incident of Discrimination(ES.2)


Download Reply Form (ES.2) pdf


Download Reply Form (ES.2) Word document

 

Referral of Complaint of Discrimination in Relation to Equal Status.

Single Complaint Form


Download Single Complaint Form pdf

Guidance Notes for Single Complaint Form pdf

This complaint form should be returned to the following address:

Workplace Relations Customer Service,
Department of Jobs, Enterprise and Innovation,
O'Brien Road,
Carlow