RetaliationU.S. Equal Employment Opportunity Commission 2025

1. Click ‘Get Form’ to open the Retaliation form in the editor.
2. Begin by filling out the Complainant’s Information section. Enter your name, EMPLID#, email, phone number, and select your status (Staff, Faculty, Student, Job Applicant, or Other).
3. In the Basis of Your Complaint section, check all applicable boxes that represent the reasons for your complaint. This may include race, sex, age, and other categories listed.
4. Provide details about the Respondent(s) by entering their name, title, department, campus, phone number, email address, and status.
5. In the 'What happened?' section, briefly explain the incident including dates and locations. Use additional paper if necessary.
6. Indicate whether you have attempted to resolve this complaint with anyone else at the College by selecting yes or no. If yes, provide names and results.
7. List any individuals who have knowledge of what occurred in the relevant section.
8. State what resolution or remedy you are seeking in the designated area.
9. Finally, ensure you sign and date your complaint to allow processing. Submit it via email or to the specified office address.

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