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Human Relations Advisory Committee

ljudkins@pocatello.us

Laura Judkins
HRAC Staff Liasion
911 N 7th Avenue
Pocatello, Idaho 83201

Community Concern

I believe I was discriminated against or witnessed discrimination in the following area(s):

What is the basis (or bases) for your claim of discrimination? Please check all that apply.

For retaliation discrimination, please check all that apply.

For sex discrimination, please check all that apply.

Personal Information (optional)

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