IF Employment Intake Form - DFEH - State of California 2026

1. Click ‘Get Form’ to open the IF Employment Intake Form in our editor.
2. Begin by filling out the 'Complainant' section. Enter your name, telephone number, address, email address, and city/state/zip code. If you require an interpreter, indicate your preferred language.
3. Next, provide details about the 'Respondent.' Fill in their name, contact information, number of employees, and type of employer.
4. In the 'Dates of Harm' section, specify the first and last dates when you experienced harm.
5. Indicate whether you experienced discrimination or harassment by selecting the appropriate options and providing details on the reasons for your claims.
6. If applicable, provide information about any attorney representing you in this matter.
7. Complete the optional demographic information for statistical purposes. This includes primary language, age, gender identity, marital status, race, ethnicity, disability status, religion, and sexual orientation.
8. Review all entered information for accuracy before submitting your form through our platform.

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