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 Discrimination File Form Template In Michigan
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Multi-State
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US-000267
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Include the following in your complaint letter: Your name, address and telephone number. The name, address, and telephone number of your attorney or authorized representative, if you are represented. The basis of your complaint. The date(s) that the incident(s) you are reporting as discrimination occurred.
You may file a complaint of discrimination using the online complaint form or by calling 1-800-482-3604. Pursuant to section 238 of PA 166 of 2022, the Michigan Department of Civil Rights posts this notice that it has adopted a hybrid policy that includes in-person, remote, and alternative work arrangements.
The name, address, and telephone number of the person who is being treated unfairly; The name, address, and telephone number of the employer you are filing the complaint against; A brief description of the event or events that you believe are unfair or harassing; and. The dates these events occurred.
The following would be considered illegal discrimination if there is evidence that the decision was made based on a protected characteristic: Sexual Harassment. Refusal to Provide Services. Unfair Lending Practices. Misrepresenting the Availability of Housing. Refusal to Allow “Reasonable Modifications” Refusing Rental.
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.
Explain as clearly as possible what happened, why you believe it happened, and how you were discriminated against. Please include how other persons were treated differently from you, if applicable. If you were denied a benefit or service, please provide a copy of the denial letter.
File a complaint with government or consumer programs File a complaint with your local consumer protection office. Notify the Better Business Bureau (BBB) in your area about your problem. The BBB tries to resolve complaints against companies. Report scams and suspicious communications to the Federal Trade Commission.
E) Discrimination in housing – When seeking an apartment for rent, the landlord tells you that “no children are allowed” (discrimination based on family status) or they won't rent to people under 25 years (age discrimination) because “they're too noisy and won't look after the place”.
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EMPLOYEE INFORMATION Please print your name below. Please sign your name in the signature block on this form.Office for Civil Rights Discrimination Complaint Form. Please provide the required information as labeled with an asterisk so that we may contact you to discuss your request. Michigan Legal Help has tools to fill many kinds of forms but we do not cover all areas. You may have a blank form that you need to fill out on your own. A charge of discrimination can be completed through our online system after you submit an online inquiry and we interview you. How do I fill this out? You may also file a complaint using this form. Please be specific in stating the facts concerning your complaint when completing this form.