eeoc intake questionnaire pdf Preview on Page 1

That you bring the completed questionnaire with you to this office to discuss your situation 2026

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How to Fill Out the Intake Questionnaire for EEOC Using Our Platform

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  1. Click ‘Get Form’ to open the Intake Questionnaire in our editor.
  2. Begin by filling out your Personal Information. Ensure you provide your last name, first name, and contact details accurately.
  3. Answer the questions regarding your disability status and race. This information is crucial for determining eligibility.
  4. In the section about discrimination, check all applicable boxes that relate to your experience. Be thorough in detailing the organization involved.
  5. Describe the discriminatory actions you faced, including dates and names of individuals involved. Attach additional pages if necessary.
  6. Review all sections to ensure completeness. Sign and date the last page before submitting it either in person or via mail.

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