EEOC Form 5 2007 free printable template

II CHARGE OF DISCRIMINATION This form is affected by the Privacy Act of 1974; See Privacy act statement before completing this form. AGENCY CHARGE NUMBER and EEOC State or local Agency, if any NAME

How to fill out EEOC Form 5

How to fill out EEOC Form 5

1. Obtain the EEOC Form 5 from the Equal Employment Opportunity Commission website or local office.
2. Provide your full name, address, and contact information at the top of the form.
3. Indicate the name and address of the employer you are filing a complaint against.
4. Describe the nature of your complaint, including the dates and locations of the incidents.
5. Detail any relevant employment dates and job titles related to your situation.
6. Specify any witnesses to the incidents and their contact information, if available.
7. Sign and date the form verifying the information is accurate before submitting.

Who needs EEOC Form 5?

1. Individuals who believe they have experienced employment discrimination based on race, color, religion, sex, national origin, age, disability, or genetic information.

• Who needs a Charge of discrimination?
• What is the Charge of discrimination for?
• What documents must accompany the Charge of discrimination?
• • Does the Charge of discrimination have a validity period?
  • What information must be provided in the Charge of discrimination?
  • What do I do with the form after its completion?

Who needs a Charge of discrimination?

This form is used by individuals who believe that they are discriminated at their work place due to their race, sex, religion, sexual orientation or other factors. The charge of discrimination is the first step before filing a job discrimination lawsuit.

What is the Charge of discrimination for?

This document contains a very important information which is required by the US Equal Employment Opportunity Commission. This includes the personal information about the complainant and type of discrimination. This form triggers the investigation of the individual’s case.

What documents must accompany the Charge of discrimination?

As a rule, this form is not accompanied by other documents. You may need to provide additional documents after filing this one.

Does the Charge of discrimination have a validity period?

The document must be filed as soon as the discrimination took place and not later than 180 days after the incident.

What information must be provided in the Charge of discrimination?

While completing the form, the complainant has to add the following information:

• Name of the State or Local Agency
• Name, street address, city, phone number, date of birth of the complainant
• Name, street address, number of employees, phone number of the employer, labor organization, employment agency, etc. who discriminated
• Type of discrimination (check the right box: race, retaliation, color, sex, age, religion, disability, national origin, other)
• Date the discrimination took place

The complainant and the charging party also have to sign and date the charge.

The charge of discrimination also must be certified by the notary public.

What do I do with the form after its completion?

The filled out and signed form has to be filed with the US Equal Employment Opportunity Commission.

People Also Ask about

What are the EEOC forms of discrimination?

The EEOC is responsible for protecting you from one type of discrimination - employment discrimination because of your race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, disability, age (age 40 or older), or genetic information.

How successful are EEOC complaints?

When an employer has an EEOC discrimination complaint filed against them, the first reaction is generally anger and fear. Please take a deep breath and know that only 2% of EEOC complaint result in penalties. An EEOC complaint which is an investigation that usually takes at least 10 months to resolve.

How do I win an EEOC complaint against my employer?

How to Win an EEOC Complaint and EEOC Mediation Tips Speak with an Experienced Federal Employment Law Attorney. Successful EEOC complainants usually have an attorney draft their complaint and manage the process. Provide Compelling Evidence. Be Professional and Maintain Composure.

How do I win an EEOC appeal?

Collect evidence. Collect any evidence that you can on the harassment. (Optional) Consult with a lawyer. Contact an EEOC counselor. File a formal complaint. Await an Agency decision. Request a hearing. File an appeal (if your complaint is dismissed) File for reconsideration (if your appeal is dismissed)

What are the 6 EEOC discrimination types?

Under the laws enforced by EEOC, it is illegal to discriminate against someone (applicant or employee) because of that person's race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age (40 or older), disability or genetic information.

Which forms of discrimination are the most common under the EEOC?

The types of discrimination most commonly investigated by the EEOC include: Race, ethnicity, color, or national origin—This type of discrimination denies certain individuals equal access to pay, promotion, benefits, and other work-related perks based primarily on their skin color, culture, or lineage.

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What is EEOC Form 5?

EEOC Form 5 is a form used by the Equal Employment Opportunity Commission (EEOC) for employers to file affirmative action programs, which includes information about the organization's efforts to promote workplace diversity and equality.

Who is required to file EEOC Form 5?

Employers with 100 or more employees, as well as federal contractors with 50 or more employees and contracts worth $50,000 or more, are required to file EEOC Form 5.

How to fill out EEOC Form 5?

To fill out EEOC Form 5, employers should gather data concerning their workforce demographics, develop their affirmative action plan, and complete the form by providing necessary information and signatures as required. Guidance can be found on the EEOC's website.

What is the purpose of EEOC Form 5?

The purpose of EEOC Form 5 is to ensure that employers are complying with affirmative action requirements and to promote equal employment opportunities by documenting efforts to eliminate discrimination in the workplace.

What information must be reported on EEOC Form 5?

EEOC Form 5 requires employers to report information such as workforce composition by race, gender, and ethnicity, the number of new hires, promotions, and terminations, as well as the details of the affirmative action program being implemented.