Alaska State Commission for Human Rights (ASCHR) Charge of Discrimination
CHARGE OF DISCRIMINATION — ALASKA STATE COMMISSION FOR HUMAN RIGHTS
Filed pursuant to AS 18.80.100 and dual-filed (where applicable) with the U.S. Equal Employment Opportunity Commission under the ASCHR–EEOC Work-Sharing Agreement.
1. AGENCY ADDRESS BLOCK
Alaska State Commission for Human Rights
800 A Street, Suite 204
Anchorage, Alaska 99501-3669
Telephone: (907) 274-4692 | Toll-Free: (800) 478-4692 | TTY: (907) 276-3177
Email: [email protected]
Website: https://humanrights.alaska.gov/
2. CHARGE NUMBER
ASCHR Charge No.: [________________________________] (assigned by Commission)
EEOC Charge No.: [________________________________] (if dual-filed)
Date Filed: [__/__/____]
3. COMPLAINANT INFORMATION
| Field | Entry |
|---|---|
| Full legal name | [FIRST MIDDLE LAST] |
| Street address | [ADDRESS] |
| City, State, ZIP | [CITY], AK [ZIP] |
| Telephone (primary) | [(___) ___-____] |
| Alternate telephone | [(___) ___-____] |
| [EMAIL] | |
| Date of birth | [__/__/____] |
| Preferred contact method | ☐ Email ☐ Telephone ☐ U.S. Mail |
| Communication accommodation needed? | ☐ No ☐ Yes — describe: [__________] |
4. RESPONDENT INFORMATION
| Field | Entry |
|---|---|
| Respondent name (employer / business / landlord / lender / agency) | [FULL LEGAL NAME] |
| Trade name / d/b/a | [DBA NAME, IF ANY] |
| Type of entity | ☐ Private employer ☐ Public employer / state agency ☐ Municipality ☐ Place of public accommodation ☐ Housing provider / landlord ☐ Real-estate agent / broker ☐ Financial institution / creditor ☐ Labor organization / union ☐ Employment agency ☐ Other: [________] |
| Number of employees (if employer) | ☐ 1–14 ☐ 15–19 ☐ 20–99 ☐ 100–199 ☐ 200–499 ☐ 500+ |
| Street address | [ADDRESS] |
| City, State, ZIP | [CITY], [STATE] [ZIP] |
| Telephone | [(___) ___-____] |
| Person who took the adverse action (name and title) | [NAME / TITLE] |
| Identifying witnesses (names and contact, if known) | [__________] |
5. PROTECTED CLASS / BASIS OF DISCRIMINATION
Check ALL that apply. Bases marked ⚠ are NOT enumerated in the corresponding state sub-section but ARE protected under federal law (Title VII via Bostock, FHA, etc.) and/or municipal ordinance (Anchorage, Juneau, Sitka, Ketchikan).
☐ Race — [specify]
☐ Color
☐ Religion / creed — [specify]
☐ National origin — [specify]
☐ Ancestry
☐ Sex (including pregnancy and related conditions)
☐ Marital status
☐ Changes in marital status
☐ Pregnancy
☐ Parenthood
☐ Age — date of birth: [__/__/____] (ADEA: age 40+; AS 18.80 has no minimum age)
☐ Physical disability — [specify]
☐ Mental disability — [specify]
☐ Sexual orientation ⚠ (state law: real-property only; Title VII via Bostock; municipal ordinance)
☐ Gender identity or expression ⚠ (state law: real-property only; Title VII via Bostock; municipal ordinance)
☐ Genetic information (GINA — federal)
☐ Veteran or military status (Title 38 / municipal ordinance)
☐ Retaliation for protected activity (opposition, charge filing, testimony, assistance) — AS 18.80.220(a)(4); 42 U.S.C. § 2000e-3(a)
6. AREA / TYPE OF DISCRIMINATION ALLEGED
Check all that apply.
☐ Employment — AS 18.80.220 (hiring, firing, discipline, pay, promotion, demotion, training, terms/conditions, harassment, failure to accommodate, retaliation)
☐ Place of public accommodation — AS 18.80.230 (refusal/withholding/denial of services, goods, facilities, advantages, privileges)
☐ Real-property sale or rental — AS 18.80.240 (refusal to sell/lease/rent, differential terms, advertising, steering, blockbusting)
☐ Financing / credit — AS 18.80.250 (denial, differential terms, conditions, or privileges)
☐ State or political-subdivision discrimination — AS 18.80.260
☐ Other — [describe]
7. DATES OF ALLEGED DISCRIMINATION
| Field | Entry |
|---|---|
| Earliest discriminatory act | [__/__/____] |
| Most recent discriminatory act | [__/__/____] |
| Continuing action? | ☐ Yes ☐ No |
| Date complainant first knew of the discrimination | [__/__/____] |
| Charge filed within 180 days of most recent act? | ☐ Yes ☐ No |
| Dual-filed with EEOC (300-day limit) | ☐ Yes — Charge No. [______] ☐ No |
8. PARTICULARS — STATEMENT OF FACTS
Use additional pages as necessary. Number paragraphs sequentially. Provide specific dates, persons, locations, statements, and adverse actions. Attach supporting documents as exhibits.
I. Complainant's protected status.
8.1. I am [describe protected status — e.g., a 52-year-old African American woman; a person with a qualifying physical disability (hearing impairment); a Roman Catholic; a person of Filipino national origin; a pregnant employee at the time of the adverse action; a parent of a minor child].
II. Relationship with Respondent.
8.2. I began [employment / tenancy / patronage / credit relationship] with Respondent on [__/__/____] as a [POSITION / CAPACITY] at Respondent's [LOCATION].
8.3. At all relevant times I performed my duties [satisfactorily / according to Respondent's legitimate expectations], as evidenced by [performance reviews / evaluations / awards / customer feedback / on-time payments / lease compliance].
III. Adverse Action(s).
8.4. On [__/__/____], [NAME / TITLE] [describe adverse action — e.g., terminated my employment; denied my application; refused to rent the unit at (ADDRESS); denied my credit application; demoted me; reduced my pay; harassed me; refused to provide a reasonable accommodation].
8.5. The reason given by Respondent for the adverse action was [STATED REASON]. That reason is pretextual for the following reasons: [explain — e.g., similarly situated persons outside my protected class were treated more favorably; the stated reason is contradicted by documentation; the explanation has shifted; the timing is suspicious].
IV. Comparators / Pattern Evidence.
8.6. [Identify similarly situated comparators outside the protected class who were treated more favorably, with names, dates, and details where known. Or describe a pattern of conduct toward members of the protected class.]
V. Harassment / Hostile Environment (if applicable).
8.7. [Describe specific incidents of harassment with dates, locations, participants, statements, and witnesses. Identify whether complainant reported the harassment internally and to whom; describe the response or lack thereof.]
VI. Failure to Accommodate (if applicable).
8.8. On [__/__/____], I requested [describe accommodation for disability or religion]. Respondent [denied / failed to engage in interactive process / delayed unreasonably / offered ineffective alternative]. The accommodation would not have imposed undue hardship because [explain].
VII. Retaliation (if applicable).
8.9. On [__/__/____], I engaged in protected activity by [opposing discriminatory practices internally / filing an earlier ASCHR or EEOC charge / participating in an investigation / requesting an accommodation / supporting a co-worker's complaint]. Within [NUMBER] [days / weeks] thereafter, Respondent retaliated by [describe retaliatory action].
VIII. Damages.
8.10. As a direct and proximate result of Respondent's conduct, I have suffered [lost wages / lost benefits / lost housing / lost credit / out-of-pocket expenses / emotional distress / humiliation / damage to reputation / other], in an estimated amount of $[AMOUNT], with continuing harm.
8.11. [Optional — Mitigation.] I have made the following efforts to mitigate damages: [describe job search, alternative housing search, alternative credit applications].
IX. Statutory Violation.
8.12. The conduct described above violates [AS 18.80.220 / 230 / 240 / 250 / 260] and [Title VII / ADA / ADEA / GINA / FHA / Section 1981 / Anchorage Municipal Code Chapter 5.20 / Juneau Title 53 / Sitka Code Chapter 11.04 / other municipal ordinance].
9. RELIEF REQUESTED
I request that ASCHR investigate this charge and grant the following relief:
☐ Cease-and-desist order
☐ Reinstatement / instatement / promotion
☐ Back pay and benefits
☐ Front pay and lost future benefits
☐ Out-of-pocket expenses
☐ Compensatory damages for emotional distress and humiliation
☐ Punitive damages (where authorized)
☐ Reasonable accommodation
☐ Expungement of negative records
☐ Mandatory training and policy changes
☐ Posting of notices
☐ Attorney's fees and costs
☐ Other: [__________]
10. DUAL-FILING AND CROSS-FILING AUTHORIZATION
☐ I authorize ASCHR to dual-file this charge with the U.S. Equal Employment Opportunity Commission ("EEOC") and any other appropriate federal or state agency under the applicable work-sharing agreement.
☐ I authorize ASCHR to share investigative findings and documents with the EEOC, U.S. Department of Housing and Urban Development ("HUD"), or other appropriate federal or state enforcement agency.
☐ I do NOT consent to dual-filing. (Note: declining dual-filing may forfeit federal claims.)
11. PRIOR FILINGS / RELATED PROCEEDINGS
☐ I have not previously filed any complaint regarding this matter.
☐ I have previously filed a complaint with: [AGENCY / COURT NAME], Charge/Case No. [______], on [__/__/____], with current status [describe].
☐ I have a pending lawsuit, grievance, arbitration, or other proceeding involving the same facts: [describe].
12. INTERNAL COMPLAINT HISTORY
☐ I reported the discrimination internally to Respondent on [__/__/____] to [NAME / TITLE]. Respondent responded by [describe].
☐ I did not report internally because [fear of retaliation / no internal procedure / futility / other reason].
13. SUPPORTING DOCUMENTS ATTACHED
☐ Offer letter, contract, lease, or credit agreement
☐ Performance evaluations / commendations
☐ Disciplinary write-ups / termination notice
☐ Pay stubs / W-2s / earning records
☐ Email and text correspondence
☐ Internal complaint(s) and Respondent's response
☐ Medical documentation supporting accommodation request
☐ Witness statements (signed)
☐ Photographs / video / audio recordings
☐ Comparator documentation
☐ Other: [__________]
14. SIGNATURE AND VERIFICATION
I declare under penalty of perjury under the laws of the State of Alaska that the foregoing is true and correct, that I have personal knowledge of the facts alleged or have stated them on information and belief, and that I am filing this Charge of Discrimination on my own behalf.
Date: [__/__/____]
Complainant's signature: [________________________________]
Print name: [FIRST MIDDLE LAST]
NOTARIZATION
STATE OF ALASKA
[FIRST / SECOND / THIRD / FOURTH] JUDICIAL DISTRICT
Subscribed and sworn to before me this [____] day of [_______________], 20[____], by [COMPLAINANT NAME], who [is personally known to me / produced ____________ as identification].
[________________________________]
Notary Public in and for the State of Alaska
(My Commission Expires: [__/__/____])
15. ATTORNEY INFORMATION (IF REPRESENTED)
| Field | Entry |
|---|---|
| Attorney name | [NAME] |
| Alaska Bar No. | [####] |
| Firm | [FIRM NAME] |
| Address | [ADDRESS] |
| Telephone | [(___) ___-____] |
| [EMAIL] | |
| Notice of Appearance filed with ASCHR? | ☐ Yes — date: [__/__/____] ☐ No |
16. FILING CHECKLIST
☐ Charge filed within 180 days (or 300 days if EEOC-dual-filed) of the most recent act of discrimination
☐ All [PLACEHOLDER] fields completed
☐ All applicable protected-class and area boxes checked
☐ Particulars (Section 8) drafted with dates, names, and specific facts
☐ Charge signed and notarized
☐ Supporting documents attached and labeled as exhibits
☐ Copy retained by complainant
☐ Original mailed/delivered to ASCHR or filed via online portal at https://humanrights.alaska.gov/services/complaints/
☐ Dual-filing box checked (Section 10) if EEOC / HUD coverage desired
☐ Calendar set for 2-year AS 09.10.070 civil-action deadline (run independently of ASCHR)
☐ Calendar set for 90-day deadline to file civil action after EEOC Right-to-Sue letter (Title VII / ADA / ADEA)
17. ALASKA PRACTICE NOTES
- Process after filing. ASCHR staff conduct an intake interview, draft a formal complaint, and serve it on Respondent. Respondent files an Answer (Position Statement). Staff convene a Resolution Conference under AS 18.80.135 to attempt early resolution. If unresolved, the case proceeds to investigation; ASCHR has subpoena power under AS 18.80.120.
- Typical timeline. Investigation often takes 12–24 months. Cases may be resolved by negotiated settlement, administrative dismissal (no substantial evidence), or finding of substantial evidence followed by conciliation and, if necessary, public hearing before an administrative law judge.
- Right to sue (state). Unlike Title VII, Alaska law does not require a Right-to-Sue letter from ASCHR before filing a civil action under AS 22.10.020(i). Complainants may file in Superior Court at any time, subject to the 2-year limitations period in AS 09.10.070.
- Withdrawal for civil action. Complainants who wish to pursue a civil action may request withdrawal of the ASCHR charge. Withdrawal is generally granted but should be coordinated with the federal EEOC charge to preserve federal claims.
- Right to sue (federal). EEOC will issue a Notice of Right to Sue on Title VII / ADA / ADEA / GINA claims after 180 days from filing (or earlier on request). Civil action must be filed within 90 days of receipt.
- Continuing-violation doctrine. Discrete acts (termination, denial of promotion, demotion, pay reduction) each trigger their own 180/300-day clock. Hostile-environment claims may aggregate acts so long as one act occurred within the limitations window. Nat'l R.R. Passenger Corp. v. Morgan, 536 U.S. 101 (2002).
- Confidentiality. ASCHR investigations are generally confidential during the investigative phase per 6 AAC 30. Public hearings and final orders are public records.
- Retaliation. AS 18.80.220(a)(4) and 42 U.S.C. § 2000e-3(a) protect complainants from retaliation for filing this Charge or assisting in any proceeding. Document and report retaliation to ASCHR immediately.
- Local agencies. Anchorage Equal Rights Commission (AERC) processes municipal-ordinance complaints under AMC Chapter 5.20 within Anchorage. Juneau, Sitka, and Ketchikan have separate municipal procedures. Complainants in those jurisdictions may file with both ASCHR and the local agency.
- Federal-only bases. Sexual orientation and gender identity (employment), genetic information (GINA), and veteran status (USERRA) are not enumerated in AS 18.80 employment provisions and should be filed with EEOC (and AERC where applicable) for full protection. Real-property discrimination based on SO/GI is covered under AS 18.80.240.
18. SOURCES AND REFERENCES
- Alaska State Commission for Human Rights — https://humanrights.alaska.gov/
- ASCHR Complaint Procedures — https://humanrights.alaska.gov/services/complaints/
- ASCHR Statutes (HRC compilation) — https://humanrights.alaska.gov/wp-content/uploads/2019/07/HRC-Statutes-2019.pdf
- AS 18.80.100 — 18.80.135 (Filing, deadlines, investigation, conciliation) — https://www.akleg.gov/basis/statutes.asp
- AS 18.80.220 (Employment) — https://law.justia.com/codes/alaska/title-18/chapter-80/article-4/section-18-80-220/
- AS 18.80.230 (Public accommodation) — https://law.justia.com/codes/alaska/title-18/chapter-80/article-4/section-18-80-230/
- AS 18.80.240 (Real property) — https://law.justia.com/codes/alaska/title-18/chapter-80/article-4/
- AS 18.80.250 (Financing) — https://law.justia.com/codes/alaska/title-18/chapter-80/article-4/
- AS 22.10.020 (Superior Court jurisdiction over AS 18.80) — https://law.justia.com/codes/alaska/title-22/chapter-10/section-22-10-020/
- AS 09.10.070 (Two-year statute of limitations) — https://www.akleg.gov/basis/statutes.asp
- 6 AAC 30 (ASCHR Regulations) — https://www.akleg.gov/basis/aac.asp
- U.S. Equal Employment Opportunity Commission — https://www.eeoc.gov/
- EEOC Field Office (Seattle, serving Alaska) — https://www.eeoc.gov/field-office/seattle/
- 42 U.S.C. § 2000e-5(c), (e)(1) (Title VII deferral & 300-day limit)
- 42 U.S.C. § 2000e-3(a) (anti-retaliation)
- Anchorage Equal Rights Commission — https://www.muni.org/Departments/Mayor/AETF/AERC/
- Anchorage Municipal Code Chapter 5.20 — https://www.muni.org/
- City and Borough of Juneau Title 53 — https://juneau.org/
- City and Borough of Sitka Code Chapter 11.04 — https://www.cityofsitka.org/
- Bostock v. Clayton County, 590 U.S. 644 (2020)
- Nat'l R.R. Passenger Corp. v. Morgan, 536 U.S. 101 (2002)
Disclaimer: This template is provided for informational purposes only and does not constitute legal advice. An attorney licensed in Alaska must review and customize this Charge before submission. The 180/300-day filing deadlines are jurisdictional and unforgiving; verify the most recent date of discrimination and file promptly. Laws, procedures, and citations change; verify all authorities before use.
About This Template
Civil rights cases address violations of your constitutional or federally protected rights by government officials, employers, landlords, or businesses. Most of these claims come with short deadlines and specific filing requirements. Well-drafted complaints and demand letters identify the right law, name the right parties, and preserve your claims before the clock runs out.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Last updated: May 2026
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