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 Montgomery
Category:
State:
Multi-State
County:
Montgomery
Control #:
US-000267
Format:
Word;
Rich Text
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FAQ
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.
You must submit your formal EEO complaint to the Office of Civil Rights, Diversity and Inclusion (OCRDI) at eeocomplaints@hrsa within 15 calendar days of receipt of a Notice to File a Formal Complaint of Discrimination (NRTF) – Commissioned Corps Officers must file within 10 calendar days of receipt of the NRTF.
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.
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”.
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.
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.
Report discrimination to a local Fair Employment Practices Agency (FEPA). If the discrimination breaks both a state and federal law, the FEPA will also send your complaint to the EEOC. Use the EEOC's directory of field offices to find the FEPA near you.
Decide how you want to file: Online. By mail. In person at a regional EEOC office. By phone at 1-800-669-4000.
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What is the basis of the alleged discrimination? (Circle only those that apply to your complaint). □. Age. □.A Charge of Discrimination can be completed through our EEOC Public Portal after you submit an online inquiry and we interview you. Employees are encouraged to use the electronic or PDF versions of this form when making a complaint of discrimination, harassment, or workplace bullying. Who do you believe discriminated against you? Include the name(s) of person(s) involved in the alleged discrimination (if known). 6. 1) Please fill out the complaint form, answering all of the questions. USDA prohibits discrimination against its customers. PURPOSE: The purpose of this form is to assist you in filing a discrimination complaint. To file a discrimination complaint, complete a Discrimination Complaint Form.