This form is a Complaint. The complaint provides that the plaintiff was an employee of defendant and that the plaintiff seeks certain special and compensatory damages under the Family Leave Act, the Americans with Disability Act, and Title VII of the Civil Rights Act of 1964.
Complaint for Employment Discrimination
Category:
State:
Multi-State
Control #:
US-000267
Format:
Word;
Rich Text
Instant download
Description
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How to fill out Complaint For Employment Discrimination?
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FAQ
As long as you have a sincere, good faith belief that your complaint is valid, you are protected from retaliation. Filing a charge with the Equal Employment Opportunity Commission (EEOC) will no doubt disrupt your workplace.
A job discrimination complaint may be filed by mail or in person at the nearest EEOC office. You can find the closest EEOC office by calling the EEOC at 1-800-669-4000, or by going to the EEOC's Field Office List and Jurisdiction Map and selecting the office closest to you.
Any individual who believes that his or her employment rights have been violated may file a job discrimination complaint with the EEOC. This includes applicants, employees and former employees, regardless of their citizenship or work authorization status.
Under the laws enforced by EEOC, it is illegal to discriminate against someone (applicant or employee) because of that person's race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age (40 or older), disability or genetic information.
A description of the events you believed to be discriminatory, and when they occurred; Why you believe you were discriminated against, such as because of your race, ethnicity, sex, age, disability, pregnancy, or other reason;
There are strict time limits for filing a job discrimination complaint with the EEOC. In some cases, you only have 180 days to report discrimination to us. You have 300 days if your complaint also is covered by a state or local anti-discrimination law.
In general, you need to file a charge within 180 calendar days from the day the discrimination took place. The 180 calendar day filing deadline is extended to 300 calendar days if a state or local agency enforces a law that prohibits employment discrimination on the same basis.
You can file a formal job discrimination complaint with the EEOC whenever you believe you are: Being treated unfairly on the job because of your race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, disability, age (age 40 or older) or genetic information; or.