DLSE forms - Retaliation/Discrimination
The forms on this server are replicas of the official DLSE forms. You will need Adobe Acrobat Reader to view or print the forms. To obtain a form by mail, contact your local DLSE office.Forms (related publications are listed separately below)
- Retaliation/Discrimination Complaint
- DLSE Form RCI 1 - English
(RCI 1) (Rev. 11/2012)
- DLSE Form RCI 1 - Spanish
(Rev.11/2012)
- DLSE Form RCI 1 - Chinese
(Rev. 11/2012)
- DLSE Form RCI 1 - Korean
(Rev. 11/2012)
- DLSE Form RCI 1 - Vietnamese
(Rev. 11/2012)
- DLSE Form RCI 1 - Tagalog
(Rev.11/2012)
- DLSE Form RCI 1 - English
- Equal Pay Act Complaint
Note: If your printer has a problem printing the form, try the "Fit to page" box in the Acrobat Adobe Reader's print function.
Publications (related forms are listed separately above)
- Retaliation and Discrimination Complaints - A summary of procedures (English) (Rev. 09/2020)
(html)
- Retaliation and discrimination complaints - A summary of procedures (Spanish) (Rev. 09/2020)
(html)
- Participation without retaliation
Note: Additional forms and publications may be added in the future.