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Affirmative action assurance sample 2026

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The document outlines the City of Dayton's Human Relations Council's Affirmative Action Assurance requirements for firms seeking contracts over $500. It mandates annual compliance reviews, the establishment of equal employment opportunity policies, and the implementation of affirmative action programs to prevent discrimination based on race, gender, and other factors. Firms must report workforce demographics and set goals for minority and female representation in various job categories. The document emphasizes the importance of good faith efforts in achieving these goals.

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Click ‘Get Form’ to open the affirmative action assurance sample in the editor.
Begin by entering your Federal ID number, Firm Name, Address, City, State, Zip Code, Telephone Number, Fax Number, and E-Mail. Ensure all information is typed or printed legibly.
Select your Type of Business by checking one of the provided options such as Agriculture, Construction, or Retail.
Answer the questions regarding your equal employment opportunity policy. If you have a written policy, attach a copy; otherwise, indicate if you accept the enclosed sample as your policy.
Indicate ownership details by answering whether your firm is 51% or more owned by minority persons and/or female persons.
Complete the workforce statistics section by recording present workforce data for both male and female employees across various occupational levels.
Sign and date the form where indicated. Ensure that an authorized person’s title is also included next to their signature.

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