{"id":822048,"date":"2023-10-31T15:45:11","date_gmt":"2023-10-31T19:45:11","guid":{"rendered":"https:\/\/gaports.com\/equal-opportunity-employer\/non-employee-discrimination-complaint-form\/"},"modified":"2024-05-31T05:24:35","modified_gmt":"2024-05-31T09:24:35","slug":"non-employee-discrimination-complaint-form","status":"publish","type":"page","link":"https:\/\/gaports.com\/hi\/title-vi-and-ada\/non-employee-discrimination-complaint-form\/","title":{"rendered":"\u0917\u0948\u0930-\u0915\u0930\u094d\u092e\u091a\u093e\u0930\u0940 \u092d\u0947\u0926\u092d\u093e\u0935 \u0936\u093f\u0915\u093e\u092f\u0924 \u092a\u094d\u0930\u092a\u0924\u094d\u0930"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; 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\u0938\u0947 \u0938\u0902\u092a\u0930\u094d\u0915 \u0915\u0930\u0947\u0902\u0964<\/p>\n<p>\u0915\u094b\u0908 \u092d\u0940 \u0935\u094d\u092f\u0915\u094d\u0924\u093f \u091c\u094b \u0936\u093f\u0915\u093e\u092f\u0924 \u0926\u0930\u094d\u091c \u0915\u0930\u0924\u093e \u0939\u0948 \u092f\u093e \u0917\u0935\u093e\u0939\u0940 \u0926\u0947\u0924\u093e \u0939\u0948, \u0938\u0939\u093e\u092f\u0924\u093e \u0915\u0930\u0924\u093e \u0939\u0948, \u092f\u093e \u0917\u0948\u0930-\u092d\u0947\u0926\u092d\u093e\u0935 \u0935\u093e\u0932\u0940 \u091c\u093e\u0902\u091a, \u0915\u093e\u0930\u094d\u092f\u0935\u093e\u0939\u0940 \u092f\u093e \u0938\u0941\u0928\u0935\u093e\u0908 \u092e\u0947\u0902 \u092d\u093e\u0917 \u0932\u0947\u0924\u093e \u0939\u0948, \u0909\u0938\u0947 \u0935\u093f\u092d\u093e\u0917 \u0926\u094d\u0935\u093e\u0930\u093e \u0917\u093e\u0930\u0902\u091f\u0940\u0915\u0943\u0924 \u0915\u093f\u0938\u0940 \u092d\u0940 \u0905\u0927\u093f\u0915\u093e\u0930 \u092f\u093e 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value=\"\u0915\u0947\u0902\u091f\u0915\u0940\">\u0915\u0947\u0902\u091f\u0915\u0940<\/option><option value=\"\u0932\u0941\u0907\u0938\u093f\u092f\u093e\u0928\u093e\">\u0932\u0941\u0907\u0938\u093f\u092f\u093e\u0928\u093e<\/option><option value=\"\u092e\u0947\u0928\">\u092e\u0947\u0928<\/option><option value=\"\u092e\u0948\u0930\u093f\u0932\u0948\u0902\u0921\">\u092e\u0948\u0930\u093f\u0932\u0948\u0902\u0921<\/option><option value=\"\u092e\u0948\u0938\u093e\u091a\u0941\u0938\u0947\u091f\u094d\u0938\">\u092e\u0948\u0938\u093e\u091a\u0941\u0938\u0947\u091f\u094d\u0938<\/option><option value=\"\u092e\u093f\u0936\u093f\u0917\u0928\">\u092e\u093f\u0936\u093f\u0917\u0928<\/option><option value=\"\u092e\u093f\u0928\u0947\u0938\u094b\u091f\u093e\">\u092e\u093f\u0928\u0947\u0938\u094b\u091f\u093e<\/option><option value=\"\u092e\u093f\u0938\u093f\u0938\u093f\u092a\u0940\">\u092e\u093f\u0938\u093f\u0938\u093f\u092a\u0940<\/option><option value=\"\u092e\u093f\u0938\u0942\u0930\u0940\">\u092e\u093f\u0938\u0942\u0930\u0940<\/option><option value=\"\u092e\u094b\u0902\u091f\u093e\u0928\u093e\">\u092e\u094b\u0902\u091f\u093e\u0928\u093e<\/option><option value=\"\u0928\u0947\u092c\u094d\u0930\u093e\u0938\u094d\u0915\u093e\">\u0928\u0947\u092c\u094d\u0930\u093e\u0938\u094d\u0915\u093e<\/option><option value=\"\u0928\u0947\u0935\u093e\u0921\u093e\">\u0928\u0947\u0935\u093e\u0921\u093e<\/option><option value=\"\u0928\u094d\u092f\u0942 \u0939\u0948\u092e\u094d\u0936\u093e\u092f\u0930\">\u0928\u094d\u092f\u0942 \u0939\u0948\u092e\u094d\u0936\u093e\u092f\u0930<\/option><option value=\"\u0928\u094d\u092f\u0942 \u091c\u0930\u094d\u0938\u0940\">\u0928\u094d\u092f\u0942 \u091c\u0930\u094d\u0938\u0940<\/option><option value=\"\u0928\u094d\u092f\u0942 \u092e\u0947\u0915\u094d\u0938\u093f\u0915\u094b\">\u0928\u094d\u092f\u0942 \u092e\u0947\u0915\u094d\u0938\u093f\u0915\u094b<\/option><option value=\"\u0928\u094d\u092f\u0942\u092f\u0949\u0930\u094d\u0915\">\u0928\u094d\u092f\u0942\u092f\u0949\u0930\u094d\u0915<\/option><option value=\"\u0928\u0949\u0930\u094d\u0925 \u0915\u0948\u0930\u094b\u0932\u093f\u0928\u093e\">\u0928\u0949\u0930\u094d\u0925 \u0915\u0948\u0930\u094b\u0932\u093f\u0928\u093e<\/option><option value=\"\u0928\u0949\u0930\u094d\u0925 \u0921\u0947\u0915\u094b\u091f\u093e\">\u0928\u0949\u0930\u094d\u0925 \u0921\u0947\u0915\u094b\u091f\u093e<\/option><option value=\"\u0928\u0949\u0930\u094d\u0926\u0928 \u092e\u0947\u0930\u093f\u0928\u093e\u0938 \u0926\u094d\u0935\u0940\u092a\u0938\u092e\u0942\u0939\">\u0928\u0949\u0930\u094d\u0926\u0928 \u092e\u0947\u0930\u093f\u0928\u093e\u0938 \u0926\u094d\u0935\u0940\u092a\u0938\u092e\u0942\u0939<\/option><option value=\"\u0913\u0939\u093e\u092f\u094b\">\u0913\u0939\u093e\u092f\u094b<\/option><option value=\"\u0913\u0915\u094d\u0932\u093e\u0939\u094b\u092e\u093e\">\u0913\u0915\u094d\u0932\u093e\u0939\u094b\u092e\u093e<\/option><option value=\"\u0913\u0930\u0947\u0917\u0928\">\u0913\u0930\u0947\u0917\u0928<\/option><option value=\"\u092a\u0947\u0928\u094d\u0938\u093f\u0932\u094d\u0935\u0947\u0928\u093f\u092f\u093e\">\u092a\u0947\u0928\u094d\u0938\u093f\u0932\u094d\u0935\u0947\u0928\u093f\u092f\u093e<\/option><option value=\"\u092a\u094d\u092f\u0942\u0930\u094d\u091f\u094b \u0930\u093f\u0915\u094b\">\u092a\u094d\u092f\u0942\u0930\u094d\u091f\u094b \u0930\u093f\u0915\u094b<\/option><option value=\"\u0930\u094b\u0921 \u0906\u0907\u0932\u0948\u0902\u0921\">\u0930\u094b\u0921 \u0906\u0907\u0932\u0948\u0902\u0921<\/option><option value=\"\u0938\u093e\u0909\u0925 \u0915\u0948\u0930\u094b\u0932\u093f\u0928\u093e\">\u0938\u093e\u0909\u0925 \u0915\u0948\u0930\u094b\u0932\u093f\u0928\u093e<\/option><option value=\"\u0938\u093e\u0909\u0925 \u0921\u0947\u0915\u094b\u091f\u093e\">\u0938\u093e\u0909\u0925 \u0921\u0947\u0915\u094b\u091f\u093e<\/option><option value=\"\u091f\u0947\u0928\u0947\u0938\u0940\">\u091f\u0947\u0928\u0947\u0938\u0940<\/option><option value=\"\u091f\u0947\u0915\u094d\u0938\u093e\u0938\">\u091f\u0947\u0915\u094d\u0938\u093e\u0938<\/option><option value=\"\u092f\u0942\u091f\u093e\">\u092f\u0942\u091f\u093e<\/option><option value=\"\u0935\u0930\u094d\u092e\u0949\u0928\u094d\u091f\">\u0935\u0930\u094d\u092e\u0949\u0928\u094d\u091f<\/option><option value=\"\u0935\u0930\u094d\u091c\u093f\u0928\u093f\u092f\u093e\">\u0935\u0930\u094d\u091c\u093f\u0928\u093f\u092f\u093e<\/option><option value=\"\u0935\u0930\u094d\u091c\u093f\u0928 \u0926\u094d\u0935\u0940\u092a\u0938\u092e\u0942\u0939\">\u0935\u0930\u094d\u091c\u093f\u0928 \u0926\u094d\u0935\u0940\u092a\u0938\u092e\u0942\u0939<\/option><option value=\"\u0935\u093e\u0936\u093f\u0902\u0917\u091f\u0928\">\u0935\u093e\u0936\u093f\u0902\u0917\u091f\u0928<\/option><option value=\"\u0935\u0947\u0938\u094d\u091f \u0935\u0930\u094d\u091c\u093f\u0928\u093f\u092f\u093e\">\u0935\u0947\u0938\u094d\u091f \u0935\u0930\u094d\u091c\u093f\u0928\u093f\u092f\u093e<\/option><option value=\"\u0935\u093f\u0938\u094d\u0915\u093e\u0902\u0938\u093f\u0928\">\u0935\u093f\u0938\u094d\u0915\u093e\u0902\u0938\u093f\u0928<\/option><option value=\"\u0935\u093e\u092f\u094b\u092e\u093f\u0902\u0917\">\u0935\u093e\u092f\u094b\u092e\u093f\u0902\u0917<\/option><\/select><\/span>\n\n\n<label>\u092a\u093f\u0928 \u0915\u094b\u0921:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"zip\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"zip\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"zip\" \/><\/span>\n\n\n<label>\u091f\u0947\u0932\u0940\u092b\u094b\u0928 \u0928\u0902\u092c\u0930:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"telephone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" id=\"telephone\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telephone\" \/><\/span>\n\n\n<label>\u0908-\u092e\u0947\u0932 \u092a\u0924\u093e:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\n\n<br><br>\n<label>\u0926\u0942\u0938\u0930\u093e \u0935\u094d\u092f\u0915\u094d\u0924\u093f(\u091c\u094b \u0918\u091f\u0928\u093e \u0915\u0947 \u092c\u093e\u0930\u0947 \u092e\u0947\u0902 \u091c\u093e\u0928\u0915\u093e\u0930\u0940 \u0930\u0916 \u0938\u0915\u0924\u0947 \u0939\u0948\u0902):<\/label>\n\n<div data-wpcf7-group-id=\"emails\" id=\"other-persons\" tabindex=\"1\" class=\"wpcf7-field-groups \"><div class=\"wpcf7-field-group\">\n    \n <label>\u0928\u093e\u092e:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"other-person-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"other-person-name\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"other-person-name\" \/><\/span>\n\n\n<label>\u092a\u0924\u093e:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"other-person-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"other-person-address\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"other-person-address\" \/><\/span>\n\n\n<label>\u0936\u0939\u0930:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"other-person-city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"other-person-city\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"other-person-city\" \/><\/span>\n\n<label>\u0930\u093e\u091c\u094d\u092f:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"other-person-state\"><select class=\"wpcf7-form-control wpcf7-select\" id=\"other-person-state\" aria-invalid=\"false\" name=\"other-person-state\"><option value=\"\u0905\u0932\u093e\u092c\u093e\u092e\u093e\">\u0905\u0932\u093e\u092c\u093e\u092e\u093e<\/option><option value=\"\u0905\u0932\u093e\u0938\u094d\u0915\u093e\">\u0905\u0932\u093e\u0938\u094d\u0915\u093e<\/option><option value=\"\u0905\u092e\u0947\u0930\u093f\u0915\u0928 \u0938\u093e\u092e\u094b\u0906\">\u0905\u092e\u0947\u0930\u093f\u0915\u0928 \u0938\u093e\u092e\u094b\u0906<\/option><option value=\"\u090f\u0930\u093f\u091c\u094b\u0928\u093e\">\u090f\u0930\u093f\u091c\u094b\u0928\u093e<\/option><option value=\"\u0906\u0930\u094d\u0915\u093e\u0902\u0938\u093e\">\u0906\u0930\u094d\u0915\u093e\u0902\u0938\u093e<\/option><option value=\"\u0915\u0948\u0932\u093f\u092b\u094b\u0930\u094d\u0928\u093f\u092f\u093e\">\u0915\u0948\u0932\u093f\u092b\u094b\u0930\u094d\u0928\u093f\u092f\u093e<\/option><option value=\"\u0915\u094b\u0932\u094b\u0930\u093e\u0921\u094b\">\u0915\u094b\u0932\u094b\u0930\u093e\u0921\u094b<\/option><option value=\"\u0915\u0928\u0947\u091f\u093f\u0915\u091f\">\u0915\u0928\u0947\u091f\u093f\u0915\u091f<\/option><option value=\"\u0921\u0947\u0932\u093e\u0935\u0947\u092f\u0930\">\u0921\u0947\u0932\u093e\u0935\u0947\u092f\u0930<\/option><option value=\"\u0921\u093f\u0938\u094d\u091f\u094d\u0930\u093f\u0915\u094d\u091f \u0911\u092b \u0915\u094b\u0932\u0902\u092c\u093f\u092f\u093e\">\u0921\u093f\u0938\u094d\u091f\u094d\u0930\u093f\u0915\u094d\u091f \u0911\u092b \u0915\u094b\u0932\u0902\u092c\u093f\u092f\u093e<\/option><option value=\"\u092b\u094d\u0932\u094b\u0930\u093f\u0921\u093e\">\u092b\u094d\u0932\u094b\u0930\u093f\u0921\u093e<\/option><option value=\"\u091c\u0949\u0930\u094d\u091c\u093f\u092f\u093e\">\u091c\u0949\u0930\u094d\u091c\u093f\u092f\u093e<\/option><option value=\"\u0917\u0941\u0906\u092e\">\u0917\u0941\u0906\u092e<\/option><option value=\"\u0939\u0935\u093e\u0908\">\u0939\u0935\u093e\u0908<\/option><option value=\"\u0906\u0907\u0921\u093e\u0939\u094b\">\u0906\u0907\u0921\u093e\u0939\u094b<\/option><option value=\"\u0907\u0932\u093f\u0928\u094b\u0907\u0938\">\u0907\u0932\u093f\u0928\u094b\u0907\u0938<\/option><option value=\"\u0907\u0902\u0921\u093f\u092f\u093e\u0928\u093e\">\u0907\u0902\u0921\u093f\u092f\u093e\u0928\u093e<\/option><option value=\"\u0906\u0907\u0935\u093e\">\u0906\u0907\u0935\u093e<\/option><option value=\"\u0915\u093e\u0902\u0938\u0938\">\u0915\u093e\u0902\u0938\u0938<\/option><option value=\"\u0915\u0947\u0902\u091f\u0915\u0940\">\u0915\u0947\u0902\u091f\u0915\u0940<\/option><option value=\"\u0932\u0941\u0907\u0938\u093f\u092f\u093e\u0928\u093e\">\u0932\u0941\u0907\u0938\u093f\u092f\u093e\u0928\u093e<\/option><option value=\"\u092e\u0947\u0928\">\u092e\u0947\u0928<\/option><option value=\"\u092e\u0948\u0930\u093f\u0932\u0948\u0902\u0921\">\u092e\u0948\u0930\u093f\u0932\u0948\u0902\u0921<\/option><option value=\"\u092e\u0948\u0938\u093e\u091a\u0941\u0938\u0947\u091f\u094d\u0938\">\u092e\u0948\u0938\u093e\u091a\u0941\u0938\u0947\u091f\u094d\u0938<\/option><option value=\"\u092e\u093f\u0936\u093f\u0917\u0928\">\u092e\u093f\u0936\u093f\u0917\u0928<\/option><option value=\"\u092e\u093f\u0928\u0947\u0938\u094b\u091f\u093e\">\u092e\u093f\u0928\u0947\u0938\u094b\u091f\u093e<\/option><option value=\"\u092e\u093f\u0938\u093f\u0938\u093f\u092a\u0940\">\u092e\u093f\u0938\u093f\u0938\u093f\u092a\u0940<\/option><option value=\"\u092e\u093f\u0938\u0942\u0930\u0940\">\u092e\u093f\u0938\u0942\u0930\u0940<\/option><option value=\"\u092e\u094b\u0902\u091f\u093e\u0928\u093e\">\u092e\u094b\u0902\u091f\u093e\u0928\u093e<\/option><option value=\"\u0928\u0947\u092c\u094d\u0930\u093e\u0938\u094d\u0915\u093e\">\u0928\u0947\u092c\u094d\u0930\u093e\u0938\u094d\u0915\u093e<\/option><option value=\"\u0928\u0947\u0935\u093e\u0921\u093e\">\u0928\u0947\u0935\u093e\u0921\u093e<\/option><option value=\"\u0928\u094d\u092f\u0942 \u0939\u0948\u092e\u094d\u0936\u093e\u092f\u0930\">\u0928\u094d\u092f\u0942 \u0939\u0948\u092e\u094d\u0936\u093e\u092f\u0930<\/option><option value=\"\u0928\u094d\u092f\u0942 \u091c\u0930\u094d\u0938\u0940\">\u0928\u094d\u092f\u0942 \u091c\u0930\u094d\u0938\u0940<\/option><option value=\"\u0928\u094d\u092f\u0942 \u092e\u0947\u0915\u094d\u0938\u093f\u0915\u094b\">\u0928\u094d\u092f\u0942 \u092e\u0947\u0915\u094d\u0938\u093f\u0915\u094b<\/option><option value=\"\u0928\u094d\u092f\u0942\u092f\u0949\u0930\u094d\u0915\">\u0928\u094d\u092f\u0942\u092f\u0949\u0930\u094d\u0915<\/option><option value=\"\u0928\u0949\u0930\u094d\u0925 \u0915\u0948\u0930\u094b\u0932\u093f\u0928\u093e\">\u0928\u0949\u0930\u094d\u0925 \u0915\u0948\u0930\u094b\u0932\u093f\u0928\u093e<\/option><option value=\"\u0928\u0949\u0930\u094d\u0925 \u0921\u0947\u0915\u094b\u091f\u093e\">\u0928\u0949\u0930\u094d\u0925 \u0921\u0947\u0915\u094b\u091f\u093e<\/option><option value=\"\u0928\u0949\u0930\u094d\u0926\u0928 \u092e\u0947\u0930\u093f\u0928\u093e\u0938 \u0926\u094d\u0935\u0940\u092a\u0938\u092e\u0942\u0939\">\u0928\u0949\u0930\u094d\u0926\u0928 \u092e\u0947\u0930\u093f\u0928\u093e\u0938 \u0926\u094d\u0935\u0940\u092a\u0938\u092e\u0942\u0939<\/option><option value=\"\u0913\u0939\u093e\u092f\u094b\">\u0913\u0939\u093e\u092f\u094b<\/option><option value=\"\u0913\u0915\u094d\u0932\u093e\u0939\u094b\u092e\u093e\">\u0913\u0915\u094d\u0932\u093e\u0939\u094b\u092e\u093e<\/option><option value=\"\u0913\u0930\u0947\u0917\u0928\">\u0913\u0930\u0947\u0917\u0928<\/option><option value=\"\u092a\u0947\u0928\u094d\u0938\u093f\u0932\u094d\u0935\u0947\u0928\u093f\u092f\u093e\">\u092a\u0947\u0928\u094d\u0938\u093f\u0932\u094d\u0935\u0947\u0928\u093f\u092f\u093e<\/option><option value=\"\u092a\u094d\u092f\u0942\u0930\u094d\u091f\u094b \u0930\u093f\u0915\u094b\">\u092a\u094d\u092f\u0942\u0930\u094d\u091f\u094b \u0930\u093f\u0915\u094b<\/option><option value=\"\u0930\u094b\u0921 \u0906\u0907\u0932\u0948\u0902\u0921\">\u0930\u094b\u0921 \u0906\u0907\u0932\u0948\u0902\u0921<\/option><option value=\"\u0938\u093e\u0909\u0925 \u0915\u0948\u0930\u094b\u0932\u093f\u0928\u093e\">\u0938\u093e\u0909\u0925 \u0915\u0948\u0930\u094b\u0932\u093f\u0928\u093e<\/option><option value=\"\u0938\u093e\u0909\u0925 \u0921\u0947\u0915\u094b\u091f\u093e\">\u0938\u093e\u0909\u0925 \u0921\u0947\u0915\u094b\u091f\u093e<\/option><option value=\"\u091f\u0947\u0928\u0947\u0938\u0940\">\u091f\u0947\u0928\u0947\u0938\u0940<\/option><option value=\"\u091f\u0947\u0915\u094d\u0938\u093e\u0938\">\u091f\u0947\u0915\u094d\u0938\u093e\u0938<\/option><option value=\"\u092f\u0942\u091f\u093e\">\u092f\u0942\u091f\u093e<\/option><option value=\"\u0935\u0930\u094d\u092e\u0949\u0928\u094d\u091f\">\u0935\u0930\u094d\u092e\u0949\u0928\u094d\u091f<\/option><option value=\"\u0935\u0930\u094d\u091c\u093f\u0928\u093f\u092f\u093e\">\u0935\u0930\u094d\u091c\u093f\u0928\u093f\u092f\u093e<\/option><option value=\"\u0935\u0930\u094d\u091c\u093f\u0928 \u0926\u094d\u0935\u0940\u092a\u0938\u092e\u0942\u0939\">\u0935\u0930\u094d\u091c\u093f\u0928 \u0926\u094d\u0935\u0940\u092a\u0938\u092e\u0942\u0939<\/option><option value=\"\u0935\u093e\u0936\u093f\u0902\u0917\u091f\u0928\">\u0935\u093e\u0936\u093f\u0902\u0917\u091f\u0928<\/option><option value=\"\u0935\u0947\u0938\u094d\u091f \u0935\u0930\u094d\u091c\u093f\u0928\u093f\u092f\u093e\">\u0935\u0947\u0938\u094d\u091f \u0935\u0930\u094d\u091c\u093f\u0928\u093f\u092f\u093e<\/option><option value=\"\u0935\u093f\u0938\u094d\u0915\u093e\u0902\u0938\u093f\u0928\">\u0935\u093f\u0938\u094d\u0915\u093e\u0902\u0938\u093f\u0928<\/option><option value=\"\u0935\u093e\u092f\u094b\u092e\u093f\u0902\u0917\">\u0935\u093e\u092f\u094b\u092e\u093f\u0902\u0917<\/option><\/select><\/span>\n\n\n<label>\u092a\u093f\u0928 \u0915\u094b\u0921:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"other-person-zip\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"other-person-zip\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"other-person-zip\" \/><\/span>\n\n\n<label>\u091f\u0947\u0932\u0940\u092b\u094b\u0928 \u0928\u0902\u092c\u0930:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"other-person-telephone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" id=\"other-person-telephone\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"other-person-telephone\" \/><\/span>\n\n\n<label>\u0908-\u092e\u0947\u0932 \u092a\u0924\u093e:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"other-person-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" id=\"other-person-email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"other-person-email\" \/><\/span>\n<span style=\"padding:7px;text-transforme:underline;\">\u0928\u092f\u093e \u091c\u094b\u0921\u093c\u0947\u0902<\/span>\n<button type='button' class='wpcf7-field-group-remove '>-<\/button><button type='button' class='wpcf7-field-group-add '>+<\/button><input type=\"hidden\" class=\"wpcf7-field-group-count\" name=\"_wpcf7_groups_count[emails]\" value=\"1\" \/><\/div><\/div>\n\n<br><br>\n<label>\u091c\u093f\u092e\u094d\u092e\u0947\u0926\u093e\u0930\u0940 \u0915\u093f\u0938 \u092a\u0930 \u0906\u0927\u093e\u0930\u093f\u0924 \u0925\u0940? (\u0938\u092d\u0940 \u0909\u092a\u092f\u0941\u0915\u094d\u0924 \u091a\u0947\u0915 \u0915\u0930\u0947\u0902):<\/label>\n    <br>\n     <span class=\"wpcf7-form-control-wrap\" data-name=\"discrimination\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"discrimination[]\" value=\"\u0930\u0947\u0938\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u0930\u0947\u0938<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"discrimination[]\" value=\"\u0930\u0902\u0917\" \/><span class=\"wpcf7-list-item-label\">\u0930\u0902\u0917<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"discrimination[]\" value=\"\u0930\u093e\u0937\u094d\u091f\u094d\u0930\u0940\u092f \u092e\u0942\u0932 (\u0932\u0947\u092a \u0938\u0939\u093f\u0924)\" \/><span class=\"wpcf7-list-item-label\">\u0930\u093e\u0937\u094d\u091f\u094d\u0930\u0940\u092f \u092e\u0942\u0932 (\u0932\u0947\u092a \u0938\u0939\u093f\u0924)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"discrimination[]\" value=\"\u0935\u093f\u0915\u0932\u093e\u0902\u0917\u0924\u093e\" \/><span class=\"wpcf7-list-item-label\">\u0935\u093f\u0915\u0932\u093e\u0902\u0917\u0924\u093e<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"discrimination[]\" value=\"\u0932\u093f\u0902\u0917\" \/><span class=\"wpcf7-list-item-label\">\u0932\u093f\u0902\u0917<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"discrimination[]\" value=\"\u0906\u092f\u0941\" \/><span class=\"wpcf7-list-item-label\">\u0906\u092f\u0941<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"discrimination[]\" value=\"\u092a\u094d\u0930\u0924\u093f\u0936\u094b\u0927\" \/><span class=\"wpcf7-list-item-label\">\u092a\u094d\u0930\u0924\u093f\u0936\u094b\u0927<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"discrimination[]\" value=\"\u0905\u0928\u094d\u092f\" \/><span class=\"wpcf7-list-item-label\">\u0905\u0928\u094d\u092f<\/span><\/label><\/span><\/span><\/span><\/label>\n\n<div data-id=\"discrimination-other-group\" data-orig_data_id=\"discrimination-other-group\"  class=\"\" data-class=\"wpcf7cf_group\">\n<label>\u0915\u0943\u092a\u092f\u093e \u0935\u093f\u0938\u094d\u0924\u093e\u0930 \u0938\u0947 \u0935\u093f\u0935\u0930\u0923 \u0926\u0947\u0902:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"discrimination-other\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" id=\"discrimination-other\" aria-required=\"true\" aria-invalid=\"false\" name=\"discrimination-other\"><\/textarea><\/span>\n<\/div>\n\n\n<br>\n<label>\u0935\u093f\u0935\u093e\u0926 \u0938\u0947 \u092a\u0930\u093f\u0923\u093f\u0924 \u0939\u094b\u0928\u0947 \u0935\u093e\u0932\u0947 \u0918\u091f\u0928\u093e \u0915\u0940 \u0924\u093e\u0930\u0940\u0916:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-incident\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" id=\"date-of-incident\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-of-incident\" \/><\/span>\n\n\n<label>\u0935\u093f\u0935\u093e\u0926\u093f\u0924 \u092d\u0947\u0926\u092d\u093e\u0935 \u0915\u093e \u0935\u093f\u0938\u094d\u0924\u0943\u0924 \u0935\u093f\u0935\u0930\u0923 \u0926\u0947\u0902\u0964 \u0915\u094c\u0928, \u0915\u094d\u092f\u093e, \u0915\u0939\u093e\u0901, \u0915\u092c?<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"description\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" id=\"description\" aria-required=\"true\" aria-invalid=\"false\" name=\"description\"><\/textarea><\/span>\n\n\n<label>\u0915\u094d\u092f\u093e \u0906\u092a\u0928\u0947 \u0907\u0938 \u0936\u093f\u0915\u093e\u092f\u0924 \u0915\u094b \u0926\u0942\u0938\u0930\u0947 \u0938\u0902\u0918, \u0930\u093e\u091c\u094d\u092f \u092f\u093e \u0938\u094d\u0925\u093e\u0928\u0940\u092f \u090f\u091c\u0947\u0902\u0938\u0940 \u092f\u093e \u0938\u0902\u0918\u0940\u092f \u092f\u093e \u0930\u093e\u091c\u094d\u092f\u0940\u092f \u0928\u094d\u092f\u093e\u092f\u093e\u0932\u092f \u092e\u0947\u0902 \u092d\u0940 \u0926\u0930\u094d\u091c \u0915\u093f\u092f\u093e \u0939\u0948?<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"filed-complaint\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"filed-complaint\" value=\"\u0939\u093e\u0901\" \/><span class=\"wpcf7-list-item-label\">\u0939\u093e\u0901<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"filed-complaint\" value=\"\u0928\u0939\u0940\u0902\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">\u0928\u0939\u0940\u0902<\/span><\/label><\/span><\/span><\/span>\n\n\n<div data-id=\"filed-complaint-group\" data-orig_data_id=\"filed-complaint-group\"  class=\"\" data-class=\"wpcf7cf_group\">\n<label>\u0915\u0943\u092a\u092f\u093e \u0909\u0938 \u090f\u091c\u0947\u0902\u0938\u0940 \u0915\u0947 \u0932\u093f\u090f \u0938\u0902\u092a\u0930\u094d\u0915 \u091c\u093e\u0928\u0915\u093e\u0930\u0940 \u092a\u094d\u0930\u0926\u093e\u0928 \u0915\u0930\u0947\u0902, \u091c\u093f\u0938\u092e\u0947\u0902 \u0906\u092a\u0928\u0947 \u0936\u093f\u0915\u093e\u092f\u0924 \u0926\u0930\u094d\u091c \u0915\u0940 \u0925\u0940:<\/label>\n\n\n<label>\u0928\u093e\u092e:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"agency-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"agency-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"agency-name\" \/><\/span>\n\n\n<label>\u092a\u0924\u093e:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"agency-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"agency-address\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"agency-address\" \/><\/span>\n\n\n<label>\u0936\u0939\u0930:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"agency-city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"agency-city\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"agency-city\" \/><\/span>\n\n\n<label>\u0930\u093e\u091c\u094d\u092f:<\/label>\n<div width=\"100%\">  <span class=\"wpcf7-form-control-wrap\" data-name=\"agency-state\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" id=\"agency-state\" aria-required=\"true\" aria-invalid=\"false\" name=\"agency-state\"><option value=\"\u0905\u0932\u093e\u092c\u093e\u092e\u093e\">\u0905\u0932\u093e\u092c\u093e\u092e\u093e<\/option><option value=\"\u0905\u0932\u093e\u0938\u094d\u0915\u093e\">\u0905\u0932\u093e\u0938\u094d\u0915\u093e<\/option><option value=\"\u0905\u092e\u0947\u0930\u093f\u0915\u0928 \u0938\u093e\u092e\u094b\u0906\">\u0905\u092e\u0947\u0930\u093f\u0915\u0928 \u0938\u093e\u092e\u094b\u0906<\/option><option value=\"\u090f\u0930\u093f\u091c\u094b\u0928\u093e\">\u090f\u0930\u093f\u091c\u094b\u0928\u093e<\/option><option value=\"\u0906\u0930\u094d\u0915\u093e\u0902\u0938\u093e\">\u0906\u0930\u094d\u0915\u093e\u0902\u0938\u093e<\/option><option value=\"\u0915\u0948\u0932\u093f\u092b\u094b\u0930\u094d\u0928\u093f\u092f\u093e\">\u0915\u0948\u0932\u093f\u092b\u094b\u0930\u094d\u0928\u093f\u092f\u093e<\/option><option value=\"\u0915\u094b\u0932\u094b\u0930\u093e\u0921\u094b\">\u0915\u094b\u0932\u094b\u0930\u093e\u0921\u094b<\/option><option value=\"\u0915\u0928\u0947\u091f\u093f\u0915\u091f\">\u0915\u0928\u0947\u091f\u093f\u0915\u091f<\/option><option value=\"\u0921\u0947\u0932\u093e\u0935\u0947\u092f\u0930\">\u0921\u0947\u0932\u093e\u0935\u0947\u092f\u0930<\/option><option value=\"\u0921\u093f\u0938\u094d\u091f\u094d\u0930\u093f\u0915\u094d\u091f \u0911\u092b \u0915\u094b\u0932\u0902\u092c\u093f\u092f\u093e\">\u0921\u093f\u0938\u094d\u091f\u094d\u0930\u093f\u0915\u094d\u091f \u0911\u092b \u0915\u094b\u0932\u0902\u092c\u093f\u092f\u093e<\/option><option value=\"\u092b\u094d\u0932\u094b\u0930\u093f\u0921\u093e\">\u092b\u094d\u0932\u094b\u0930\u093f\u0921\u093e<\/option><option 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