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