Person(s) discriminated against (if someone other than complainant)
 
 
 
 
Which of the following best describes the basis of the alleged discrimination
 
Description of the alleged discrimination incident. Please provide as much detail as possible, including names and titles (if known) of any NJ TRANSIT employees involved. Explain what happened, to whom, and who you believe was responsible.
 
 By checking this box, I certify that the information on this form is true and accurate to the best of my knowledge.