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DISCRIMINATION COMPLAINT FORM SANTA CLARA COUNTY EQUAL OPPORTUNITY DIVISION Confidentiality: The County of Santa Clara cannot guarantee that complaints will remain confidential after an investigation
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How to fill out discrimination complaint form

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How to fill out a discrimination complaint form:

01
Start by carefully reading the instructions provided on the form. Familiarize yourself with the purpose of the form and any specific requirements or guidelines.
02
Begin by providing your personal information, including your name, contact details, and any other information requested, such as your address, phone number, or email.
03
Identify the party or organization you are filing the discrimination complaint against. Clearly state their name, address, and any additional details that can help in identifying them.
04
Describe the discrimination incident in detail. Be specific and provide factual information about what happened, when and where it occurred, as well as any witnesses who were present. Include any supporting documents or evidence if required.
05
Specify the basis of the discrimination complaint. State the protected characteristic(s) (such as race, gender, age, disability, etc.) that you believe were the basis for the discrimination.
06
Indicate the specific harm or negative impact you experienced as a result of the discrimination. Share how it affected you personally, professionally, or in any other way.
07
If applicable, provide information about any previous actions taken to address the discrimination, such as reporting the incident internally or engaging in any alternative dispute resolution processes.
08
Sign and date the form, acknowledging that the information provided is accurate to the best of your knowledge.

Who needs a discrimination complaint form:

01
Individuals who have experienced discrimination based on protected characteristics such as race, gender, age, disability, religion, national origin, or sexual orientation.
02
Employees who have faced discrimination in the workplace, either from their colleagues, supervisors, or the employer itself.
03
Job applicants who believe they were discriminated against during the hiring process due to their characteristics.
04
Students who have faced discrimination at educational institutions, including schools, colleges, or universities.
05
Consumers who have encountered discrimination when accessing goods, services, or accommodations.
06
Tenants or prospective tenants who have experienced discrimination in housing-related matters, such as rental or lease agreements.
07
Individuals who have faced discrimination by government agencies, organizations receiving federal funding, or other public entities.
08
Members of protected classes who believe they have been discriminated against in any other situation not mentioned above.
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Discrimination complaint form is a document used to report incidents of discrimination based on factors such as race, gender, age, or disability.
Anyone who has experienced discrimination in the workplace or in other settings may be required to file a discrimination complaint form.
To fill out a discrimination complaint form, one must provide details of the incident, such as date, time, location, and description of the discrimination experienced.
The purpose of discrimination complaint form is to document instances of discrimination and allow for appropriate action to be taken to address and prevent further discrimination.
Information such as the details of the incident, the parties involved, and any witnesses or evidence must be reported on a discrimination complaint form.
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