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Eeoc complaint form pdf 2025

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The document is a Charge of Discrimination form used to report instances of discrimination based on various factors such as race, color, sex, religion, national origin, and retaliation. It requires the complainant to provide personal information, details about the employer or organization involved, and specifics about the discriminatory actions. The form also includes a declaration for the complainant to affirm the truthfulness of their claims.

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Click ‘Get Form’ to open the EEOC complaint form in our editor.
Begin by entering your personal information in the designated fields. Fill in your name, home telephone number, and address, ensuring accuracy for effective communication.
Identify the employer or organization that discriminated against you. Provide their name, address, and contact details. If there are multiple parties involved, list them accordingly.
Select the cause of discrimination by checking the appropriate boxes. Options include race, color, sex, retaliation, religion, national origin, or other specified reasons.
Indicate the dates when the discrimination occurred by filling in both earliest and latest dates. If this is an ongoing issue, check the 'Continuing Action' box.
In the 'Particulars' section, provide a detailed account of your experience. If more space is needed, attach additional sheets as necessary.
Finally, review your entries for accuracy before signing and dating the form at the bottom. Ensure you understand your rights regarding cooperation with processing your charge.

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How to write a formal EEO complaint?

To file a complaint, the applicant must include the name, address, and telephone number of the affected worker and their employer, as well as a description of the underlying behavior and when it occurred. Once you file a complaint, the EEOC will inform your employer within 10 days and send a copy of the charge.

What are examples of EEO complaints?

What to Include in the Formal Complaint. Your discrimination complaint must contain the following: Your name, address, and telephone number; A short description of the events that you believe were discriminatory (for example, you were terminated, demoted, harassed);

How do I file a complaint with EEOC?

Report discrimination to your local government Report discrimination to a local Fair Employment Practices Agency (FEPA). If the discrimination breaks both a state and federal law, the FEPA will also send your complaint to the EEOC. Use the EEOCs directory of field offices to find the FEPA near you.

What evidence do I need to file an EEOC complaint?

By Telephone You can call 1-800-669-4000 to discuss your situation. A representative will ask you for some basic information to determine if your situation is covered by the laws we enforce and explain how to file a charge.

How to write a good EEO complaint?

Witnesses who saw what happened and can give statements to support your complaint. People from outside the company, like a counselor from Opportunities for Ohioans with Disabilities, a therapist or a job coach, who worked with you and your employer. Proof that you have a disability.