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Get the free Intake Questionnaire – Employment Discrimination

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A questionnaire designed for individuals to report employment discrimination based on sexual orientation or gender identity within Salt Lake City Corporation.
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How to fill out Intake Questionnaire – Employment Discrimination

01
Read the instructions carefully.
02
Fill out your personal information, including name, address, and contact details.
03
Provide information about your employment history, including job titles, dates, and responsibilities.
04
Detail the discriminatory incidents, including dates, locations, and individuals involved.
05
Describe how the discrimination affected your employment and emotional well-being.
06
Attach any relevant documents that support your claims, such as emails or performance reviews.
07
Review your responses for accuracy and completeness.
08
Sign and date the questionnaire before submission.

Who needs Intake Questionnaire – Employment Discrimination?

01
Individuals who believe they have experienced discrimination in the workplace.
02
Employees seeking legal recourse for employment-related discrimination.
03
Job applicants who were discriminated against during the hiring process.
04
Anyone wanting to report and document instances of workplace discrimination.
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The Intake Questionnaire – Employment Discrimination is a form that individuals can complete to report experiences of discrimination in the workplace based on factors such as race, gender, age, disability, and more.
Any individual who believes they have experienced employment discrimination in violation of federal or state laws is encouraged to file an Intake Questionnaire.
To fill out the Intake Questionnaire, individuals should provide accurate personal information, details about the discrimination experienced, dates of incidents, and any relevant documentation or witness information.
The purpose of the Intake Questionnaire is to collect essential information that helps authorities understand the nature of the discrimination claim and determine the next steps for investigation or action.
The Intake Questionnaire must include the complainant's contact information, the employer's details, a description of the discriminatory actions, dates of incidents, and any attempts made to resolve the issue.
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