Complaint Form

If you believe you were discriminated against on the grounds of race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law, were excluded from participation in, were denied the benefits of, or was subjected to discrimination under any and all programs, services, or activities including all employment practices, please complete this form. Retaliation is strictly prohibited.

Date of Alleged Incident: *

Name: *

Address: *

City: *

State: *

Zip Code: *

Work Phone: *

Home Phone: *

Email: *

Indicate below the person(s) which you wish to file a complaint against:

Names: *

Location: *

Work Phone: *

* Please provide a detailed description of the alleged incidence. If there are any witnesses, please provide their contact information. Attached additional pages as necessary.

Please provide a suggested detailed plan or remedy for this complaint.

Have you filed or do you intend to file a complaint concerning this incident with any other agencies (Federal, State or Local)?

Yes

Agency Name:

Address:

Name of Investigator:

Phone Number:

Email Address:

Date of Filed:

Status of Complaint:

You are welcome to email any additional documentation to human.resources@knoxcounty.org or mail it to:

Human Resources
400 Main Street, Suite 360,
Knoxville, TN 37902

Download Complaint Form

Human Resources

City County Building
400 Main Street
Suite 360
Knoxville, TN 37902

Phone: 865-215-2321
Fax: 865-215-3242
Benefits Fax: 865-215-2474
Job Openings

Useful Contact Numbers
Knox County HR: 865-215-2321
KCSO HR: 865-971-3914
Knox County Schools:
865-594-1800
PBA HR: 865-215-2306
Benefits: 865-215-3800
Retirement: 865-215-2323

Hours:
Monday - Friday
8:00 am - 4:30 pm

Department Email
County Holidays
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