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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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Title I complaints must be filed with the U. S. Equal. Employment Opportunity Commission (EEOC) within 180 days of the date of discrimination, or 300 days ifRead more
For detailed information on the complaint process, see the State of New Jersey Model Procedures for Processing Internal. Complaints Alleging Discrimination inRead more
Selected EEOC Forms ; PDF Form 5, Charge of Discrimination ; Form 131, Notice of Charge of Discrimination ; Form 131-A, Notice of Charge of Discrimination inRead more
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