Texas Department of Criminal Justice EEO COMPLAINT FORM Complainant Information (Person Complaining) Preview on Page 1

Texas Department of Criminal Justice EEO COMPLAINT FORM Complainant Information (Person Complaining) 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name in the designated fields: Last, First, and Middle Initial. This identifies you as the complainant.
  3. Fill in your Social Security Number (SSN), title, unit or department, work shift, and schedule card. Accurate information is crucial for processing your complaint.
  4. Provide your home mailing address and phone number. Ensure that this information is current so that you can be contacted regarding your complaint.
  5. Identify the Warden or Department Head's name. This helps direct your complaint to the appropriate authority.
  6. In the Respondent Information section, fill out the name and title of the person you are complaining against, along with dates of any discriminatory events.
  7. Answer all discrimination-related questions by checking 'Yes' or 'No' and providing additional details where necessary.
  8. In the statement section, include specific details about each alleged event. You can attach additional pages if needed.
  9. List known witnesses and summarize their potential testimonies regarding the events.
  10. Finally, sign and date the form at the bottom to validate your complaint before submission.

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EEO Complaint Form - Texas Department of Criminal Justice

Submit the form below to file an online EEO complaint. via e-mail to hr.intake@tdcj.texas.gov. Information (person subject to complaint)

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Name of Person Filing Complaint:

This form is to be used for complaints of discrimination or harassment this form is for the Complaining Party to file a complaint about directly experienced

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