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Employee & Third Party Complaint Forms

Executive Order 1096 (Revised 10-12-2021) was established to provide employees who are not eligible to file a discrimination, harassment or retaliation complaint or grievance under a collective bargaining agreement, the opportunity to file formal complaints alleging violations of CSU Systemwide policies against discrimination, harassment or retaliation. The Executive Order is also available to employees in bargaining units who collective bargaining agreements have incorporated the CSU systemwide complaint procedure for such purposes.

If you would like to submit your concern, please complete the Complaint Form for Discrimination/Harassment/Retaliation Complaints, also located as an Attachment on the left navigation bar of Executive Order 1096 (Revised 10-12-2021), (first click on the signed PDF version) on the California State University website. After completing:

  • Save the form to your device, or print it
  • Submit electronically via email
  • Submit via mail to the following DHR Administrator:

Cristina Alvarez, Executive Director of Institutional Equity & Compliance, CSUSB, Sierra Hall, Room 131, (909) 537-5669,

OR if the allegations involve Sex Discrimination and/or Sexual Harassment, except Sexual Violence which cannot be informally resolved, you may submit your concern to CSUSB's Title IX Coordinator using the File a Report Form, or you may send an email ( or call us (909-537-5669).