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DISCRIMINATION, HARASSMENT RETALIATION COMPLAINT FORM If you have any questions, call 530-750-1318 COMPLAINANT INFORMATION To remain anonymous, indicate so by writing Anonymous on the line below.
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How to Fill Out a Discrimination Complaint Form:

01
Start by obtaining a discrimination complaint form. These forms can usually be found online on government agency websites or obtained from the relevant agency directly.
02
Read the instructions carefully. The form may have specific guidelines on how to fill it out, including what information is required and how it should be presented.
03
Begin by providing your personal information. This typically includes your full name, address, phone number, and email address. You may also be asked to provide your age, gender, and other demographic information.
04
Specify the type of discrimination you are alleging. The form may have checkboxes or a section where you can mark the specific type of discrimination you believe you have experienced, such as racial, gender, age, disability, or religious discrimination.
05
Describe the incident or incidents of discrimination in detail. Use clear and concise language to explain what happened, who was involved, when and where it occurred, and any witnesses present. Provide as much specific information as possible to support your claim.
06
Include any supporting documentation. If you have any evidence to support your allegations, such as emails, text messages, photographs, or witness statements, attach them to the form or indicate where they can be found.
07
If you have already taken any steps to resolve the issue, such as reporting it to your employer or human resources department, provide details on these actions and their outcomes.
08
Sign and date the form. Verify that all the information you have provided is accurate and complete before signing the form. Make sure to date the form as well.

Who Needs a Discrimination Complaint Form:

01
Employees who believe they have been discriminated against in the workplace based on their race, gender, age, disability, religion, or other protected characteristics may need a discrimination complaint form.
02
Job applicants who believe they were denied employment due to discriminatory reasons may also need a discrimination complaint form.
03
Individuals who have experienced discrimination in other areas, such as housing or public accommodations, may require a discrimination complaint form specific to those sectors.
Remember, every discrimination complaint form may have slight variations in content and requirements, so it is essential to carefully read the specific instructions provided with the form you are using.
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The discrimination complaint form is a document used to report instances of discrimination based on race, gender, age, religion, etc.
Anyone who has experienced discrimination or witnessed discrimination can file a discrimination complaint form.
Fill out the form with details about the discrimination incident, including date, time, location, and nature of the discrimination.
The purpose of the discrimination complaint form is to document and investigate incidents of discrimination to ensure a fair and inclusive environment.
Information such as the details of the discrimination incident, names of individuals involved, witnesses, and any supporting evidence.
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