Edd ca pdfpubctrde8498Employment Development Department Discrimination Complaint Form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section 1, 'Complainant Information.' Fill in your name, contact numbers, email, and address. Ensure all details are accurate for effective communication.
3. In Section 2, provide a convenient time for the EEO Office to contact you regarding your complaint. This helps streamline communication.
4. Section 3 requires information about the individual or entity you are filing against. Include names, addresses, and any relevant contact details.
5. In Section 4, describe the incidents of discrimination clearly. Include dates and specific details about how you were treated differently.
6. List any witnesses in Section 5 who can support your claim. Their contact information will be helpful for further investigation.
7. For Section 6, check all applicable boxes that represent the basis of discrimination you experienced.
8. If you've previously filed a complaint against the same entity, complete Section 7 with relevant details.
9. Decide if you want a personal representative in Section 8 and provide their information if applicable.
10. Indicate your preference for mediation in Section 9 by checking 'YES' or 'NO.'
11. Finally, sign and date the form in Section 10 to validate your complaint before submission.

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