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- Fill out your address, city, state, zip code, and telephone numbers. Ensure all contact information is accurate for follow-up.
- Indicate whether you have previously filed a charge of discrimination with the EEOC by selecting 'YES' or 'NO'.
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- Select the reasons for discrimination from the provided options, ensuring to check all that apply.
- Document the first and last dates of discrimination, paying attention to the 180-day filing limit.
- Detail any specific incidents where you believe discrimination occurred in the relevant section.
- Complete employer information including name, address, and contact details before submitting your form.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2019 | 4.8 Satisfied (122 Votes) |
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