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EEOC Form 573, also known as the "Notice of Charge of Discrimination," is a document used by the U.S. Equal Employment Opportunity Commission (EEOC). This form is used by individuals who believe they have been discriminated against in their employment based on race, color, religion, sex, national origin, age, disability, or genetic information. It serves as a formal complaint that initiates the EEOC's charge process, allowing the agency to investigate and potentially resolve the discrimination claim. The form requires detailed information about the complainant, the employer, and the alleged discriminatory actions, including dates, incidents, and the basis of discrimination.
Who is required to file eeoc form 573?
The EEOC Form 573 is typically filed by individuals who have experienced discrimination and wish to file a charge of discrimination with the Equal Employment Opportunity Commission (EEOC). This form is required to be filed by individuals who believe they have been subjected to employment discrimination based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age (40 or older), disability, or genetic information.
How to fill out eeoc form 573?
To fill out the EEOC Form 573, also known as the "Notice of Appearance at EEOC Mediation and Request for Continuation of Mediation," follow these steps:
1. Download the form: Go to the official website of the Equal Employment Opportunity Commission (EEOC) and locate Form 573. Download and save the form to your computer.
2. Provide basic information: Start by filling out the basic information section at the top of the form. Include your full name, address, phone number, and email address.
3. Case information: In this section, provide details about the case for which you are requesting mediation. Include information such as the EEOC charge number, case name, and the date of the charge.
4. Legal representation: Indicate whether you will be represented by an attorney during the mediation process. If you have legal representation, provide their contact information.
5. Mediation preferences: In this section, select whether you prefer in-person or telephone mediation. If you have any specific requests or restrictions regarding mediation arrangements, you can include them here.
6. Contact person: Provide the name and contact information of the person designated to receive mediation-related communications on your behalf, if applicable.
7. Certification and signature: Read the certification statement at the bottom of the form thoroughly. By signing, you certify the accuracy of the information provided and your agreement to participate in the mediation process. Sign and date the form accordingly.
8. Submission: Once you have completed the form, make sure to save a copy for your records. Then, depending on the specific instructions provided by the EEOC, you can submit the form either electronically or by mailing it to the appropriate EEOC office.
Remember, it is crucial to carefully read and follow the instructions provided by the EEOC for submitting the Form 573, as specific procedures may vary depending on your region or case circumstances.
What is the purpose of eeoc form 573?
The purpose of EEOC Form 573, also known as the "Pre-Complaint Inquiry Questionnaire," is to gather basic information from individuals who seek to file a complaint of discrimination or retaliation with the Equal Employment Opportunity Commission (EEOC). The form helps the EEOC determine whether the alleged discriminatory practices fall within its jurisdiction and whether there are potential violations of federal laws that it enforces, such as Title VII of the Civil Rights Act of 1964. The information provided on Form 573 assists the EEOC in determining next steps, including the potential filing of a formal complaint.
What information must be reported on eeoc form 573?
The EEOC Form 573 is a "Notice of Charge of Discrimination" form that is used to officially file a complaint of workplace discrimination with the Equal Employment Opportunity Commission (EEOC). The form requires the following information to be reported:
1. Complainant's personal information: Name, address, phone number, and email address.
2. Complainant's attorney's information (if applicable).
3. Basis of discrimination: Specify the type of discrimination alleged (race, color, sex, national origin, religion, age, disability, genetic information, or retaliation).
4. Employer information: Name, address, phone number, and email address.
5. Employer's attorney's information (if applicable).
6. Additional parties involved: Provide information about other parties involved in the alleged discrimination, such as supervisors, managers, or co-workers.
7. Description of the alleged discrimination: Detail the events, actions, or policies that form the basis of the complaint, including dates, locations, and individuals involved.
8. Date(s) of alleged discrimination: Provide the specific dates or approximate timeframe when the incidents occurred.
9. Location(s) of alleged discrimination: Specify the location(s) where the alleged discrimination took place, such as the employer's office or facility.
10. Employment details: Provide information about the complainant's job title, hire date, current status, and any relevant details about the employment relationship.
11. Remedy sought: Specify the outcome or remedy the complainant is seeking, such as compensation, reinstatement, or policy changes.
12. Signature: The form must be signed by the complainant or their attorney.
Additionally, it's important to note that the EEOC Form 573 may have specific instructions or additional fields that can vary depending on the particular circumstances of the complaint.
What is the penalty for the late filing of eeoc form 573?
The EEOC Form 573 is used for the withdrawal of a charge or request for dismissal without prejudice, and therefore there is no specific penalty mentioned for the late filing of this form. However, it is recommended to file any required forms within the given deadlines to avoid potential complications or delays in the processing of your case.
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