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PHILADELPHIA COMMISSION ON HUMAN RELATIONSEMPLOYMENT DISCRIMINATION INTAKE FORM INSTRUCTIONS This packet contains the form you will need to complete to begin the process of filing a discrimination
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How to fill out employment discrimination intake form

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How to fill out an employment discrimination intake form:

01
Start by carefully reading the instructions: Before filling out the form, make sure to read any accompanying instructions or guidelines. This will help you understand what information is required and how to properly complete the form.
02
Provide your personal information: Begin by entering your full name, contact information, address, and any other requested personal details. This ensures that your information can be easily identified and processed.
03
Specify the nature of the discrimination: Indicate the type of discrimination you experienced or are alleging, such as race, gender, disability, or age discrimination. Provide a detailed account of the specific incidents or actions that led you to believe discrimination has occurred.
04
Provide details about the alleged discriminator: If you know the name or any identifying information about the person or organization you believe discriminated against you, provide these details. This helps in identifying the responsible parties and conducting further investigations if necessary.
05
Attach any supporting documents: Gather any evidence or supporting documents related to the discrimination, such as emails, photographs, witness testimonies, or any other relevant records. Make copies of these documents and attach them to the intake form, ensuring that all information is legible.
06
Answer additional questions: The form may include further questions regarding your employment history, the response you have received from superiors or human resources, and any actions you have taken to address the discrimination. Answer these questions truthfully and concisely.
07
Seek legal advice if necessary: If you are unsure about any aspect of the form or if you believe your rights have been severely violated, consider seeking legal advice. An attorney experienced in employment discrimination cases can provide guidance and ensure that you properly complete the form.

Who needs an employment discrimination intake form?

01
Job seekers: Individuals who believe they have experienced discrimination during the job application process, such as being denied employment based on their race, gender, religion, or other protected characteristics, may need to fill out an employment discrimination intake form.
02
Employees: Current employees who believe they are experiencing discrimination in the workplace, including unequal treatment, harassment, or retaliation, may need to complete an employment discrimination intake form. This allows them to formally document their complaint and initiate a potential investigation or legal action.
03
Former employees: Individuals who have left a job but believe they were discriminated against during their employment can also benefit from filling out an employment discrimination intake form. This helps preserve a record of the alleged discrimination for potential legal actions or further investigation by relevant authorities.
Remember, it is important to consult the specific policies and procedures of your country, state, or organization related to filing an employment discrimination complaint.
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The employment discrimination intake form is a document where individuals can report incidents of discrimination in the workplace.
Any individual who believes they have been a victim of employment discrimination is required to file the intake form.
The form can be filled out by providing details of the discrimination incident, personal information, and contact details.
The purpose of the form is to gather information on discrimination incidents in order to take appropriate action.
Information such as date, time, location of the incident, nature of discrimination, and any witnesses should be reported on the form.
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