en
lt
E-Complaint

Discrimination Complaint (Application) to the Equal Opportunities Ombudsperson Agneta Lobačevskytė

Complainant (forename and surname (or the name of the institution, organisation))
Date of birth
Address of residence (or address of the institution)
Gender
Phone number
Email address
Date
Please tell us what your complaint is about. What are the actions or inaction, decisions against which this complaint is filed? Please indicate the date and circumstances under which the alleged discrimination occurred. What would you like the equal opportunities ombudsperson to do as a result of your complaint?
Please provide the name(s) of person(s), their job titles or an institution, organisation engaged in the alleged discrimination. Please indicate, where possible, address, telephone numbers, email addresses of persons or institutions/organisations against whom the complaint is filed
Have you approached the court or law enforcement services on the same matter? If yes, please specify where and when.
If you have filed this complaint with other institutional bodies/authorities, please specify the dates you filed it and give exact names of institutions. Please provide us with a copy of their response, if available.
You may add documents which specify the content of your application or evidence.
Will you allow us to provide information about the investigation of your complaint to the press and other media?

Agneta Skardžiuvienė

Equal Opportunities Ombudsperson of the Republic of Lithuania

Curriculum Vitae