Legal Redress Form – NAACP Tri-County Branch

The NAACP Tri-County Branch may provide contact information, and/or assistance for concerned citizens with common, complaints, issues, or questions, but we do not provide legal advice. For legal advice, you should consult an attorney. Please also remember that NAACP members are volunteers and may not always be available to schedule time to assist you at your convenience. If your matter is time sensitive, do not await action by the NAACP.

Although you may have contacted The NAACP Tri-County Branch via email or by phone, your complaint is not considered to have been formally filed until the required Legal Redress Form has been filled out, signed, and submitted to the Tri-County Branch.

This form is not a legal document. Its purpose is to assist the Branch in gathering information to make the decision whether to advocate on your behalf. Please follow the Complaint Form Instructions:

Complete entire form (incomplete or unclear forms cannot be processed)
Attach copies (not originals) of any documentation you may have that verifies your complaint.

Name of Person Filing Complaint

Address (Include City, State, and ZIP)

Telephone (Home)

Telephone (Cell - Optional)

Telephone (Work - Optional)

Entity (Person, Organization, or Company) about whom you are complaining (note: If it is a law enforcement officer, include City or County, and Badge No. and/or Car No.)

Date and Time of Incident (if there is more than one occurrence, please use additional space provided)

Location of Incident

Please check the statement(s) that are related to your incident.

The offender(s) did not conduct themselves in a professional manner (resulting in the violation of civil right(s)).The offender(s) communicated bias based upon race, gender, national origin, religion, sexual orientation or disability.

Please explain in your own words the particular description of the acts and conduct of offender(s) which gives rise to your complaint.

Witnesses to this Incident (Important)

By submitting this form the Complainant shall indemnify and hold harmless NAACP, its officers, members, and/or agents to the greatest extent permitted by law from and against any claims, costs (including, without limitation, reasonable attorneys’ fees and court costs), expenses, damages, liabilities, losses and/or judgments arising out of, or in connection with, any claim, demand or action made by any party if such are (or are alleged to be) a direct or indirect consequence of the provision of services.

For further assistance, see the NAACP resource page: http://www.naacp.org/legal/addresources/Legal Department, or contact LegalDept@naacpnet.org

For additional local information, contact your Tri-County Branch President or Legal Redress Chair.