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EEOC Form 5 (11/09) Agency(IES) Charge No(s): Charge Presented To: CHARGE OF DISCRIMINATION FPA This form is affected by the Privacy Act of 1974. See enclosed Privacy Act Statement and other information
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How to fill out charge of discrimination

How to fill out a charge of discrimination:
01
Gather relevant information: Before filling out a charge of discrimination, it is crucial to collect all the necessary information related to the incident. This may include dates, times, locations, individuals involved, witnesses, and any evidence supporting your claim. Ensure you have all the facts and details before proceeding.
02
Identify the appropriate agency: Depending on the jurisdiction and the type of discrimination, you should determine the appropriate agency where you need to file the charge. This could be a local or state human rights commission, the Equal Employment Opportunity Commission (EEOC) in the United States, or other relevant institutions. Conduct research or seek guidance to ensure you select the correct authority.
03
Review and complete the charge form: Obtain the charge of discrimination form required by the relevant agency or institution. Carefully review the instructions and guidelines provided with the form to understand how to fill it out correctly. Take your time to ensure accuracy and completeness.
04
Provide personal information: Start the form by providing your personal details, such as your full name, address, phone number, and email. This information is essential for the agency to contact you and communicate throughout the investigation process.
05
Describe the discrimination incident: Clearly and concisely describe the details of the discriminatory incident or behavior you experienced or witnessed. Include specific dates, times, locations, and describe the actions or statements that you believe were discriminatory. Be factual and avoid emotional language.
06
Identify the basis of discrimination: Indicate the basis of the discrimination you experienced, such as race, gender, age, religion, disability, or any other protected characteristic recognized by the relevant laws or regulations. Specify multiple bases if applicable.
07
Provide relevant documentation or evidence: If you have any supporting documentation, such as emails, text messages, photographs, or witnesses' statements, include copies with your charge form. These documents can strengthen your case and help support the allegations.
08
Sign and date the charge form: Read the declaration section of the charge form carefully and ensure you understand its contents. Sign and date the form to certify that the information provided is true and accurate to the best of your knowledge.
Who needs a charge of discrimination?
Individuals who believe they have been subjected to discrimination based on a protected characteristic, such as race, color, religion, sex, national origin, age, disability, or genetic information, may need to file a charge of discrimination. This can apply to employees, job applicants, customers, or clients facing discriminatory practices in various domains, such as employment, education, housing, and public services. The charge of discrimination serves as a formal complaint initiating an investigation into the alleged discrimination by the appropriate agency or institution.
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What is charge of discrimination?
Charge of discrimination is a formal complaint filed with a government agency that alleges that an individual or group has been discriminated against based on protected characteristics such as race, gender, age, or disability.
Who is required to file charge of discrimination?
Any individual who believes they have been discriminated against based on protected characteristics can file a charge of discrimination. It can also be filed by a representative on behalf of the individual.
How to fill out charge of discrimination?
To fill out a charge of discrimination, the individual must provide their contact information, details of the alleged discrimination, names of individuals involved, dates of incidents, and any supporting documentation.
What is the purpose of charge of discrimination?
The purpose of charge of discrimination is to bring attention to and address instances of discrimination in the workplace or other settings. It may lead to an investigation and potential legal action.
What information must be reported on charge of discrimination?
The charge of discrimination must include the details of the alleged discrimination, names of individuals involved, dates of incidents, and any supporting documentation.
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