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EMPLOYMENT DISCRIMINATION INTAKE QUESTIONNAIRE LINCOLN COMMISSION ON HUMAN RIGHTS 440 South 8th Street, Suite 101 Lincoln, NE 68508 PLEASE PRINT Name: (First, Middle, Last) Date of Birth: Age: Address:

How to fill out employment discrimination intake questionnaire

How to fill out an employment discrimination intake questionnaire:

1. Start by carefully reading the instructions: Before filling out the questionnaire, make sure you read and understand the instructions provided. This will ensure that you provide accurate and relevant information.
2. Provide personal details: Begin by providing your personal information such as your name, contact information, and address. This will help the authorities to reach out to you if further information or clarification is required.
3. Specify the type of discrimination: Identify the type of discrimination you have experienced or witnessed. This could include discrimination based on race, gender, age, disability, or any other protected characteristic.
4. Describe the incident: Provide a detailed description of the incident or incidents that you believe involve discrimination. Be as specific as possible, mentioning dates, times, locations, and any individuals involved. If there were any witnesses, it is important to include their names and contact information as well.
5. Share relevant information: Include any supporting documentation or evidence related to the discrimination you experienced. This may include emails, text messages, photographs, videos, or any other relevant materials that can help substantiate your claim.
6. Provide details of witnesses or participants: If there were any witnesses to the discrimination or if there were any other individuals involved, provide their names, contact information, and their role in the incident. This can assist in the investigation process.
7. Explain the impact: Describe the impact that the discrimination has had on you personally, whether it be emotional, financial, or professional. Explain how it has affected your work environment or opportunities for advancement.
8. Consult legal assistance if needed: If you require legal assistance or advice regarding the questionnaire or the discrimination you experienced, it is recommended to consult with an attorney or seek guidance from a legal aid organization.

Who needs an employment discrimination intake questionnaire?

Individuals who have experienced or witnessed discrimination in the workplace, whether as employees or job applicants, may need to fill out an employment discrimination intake questionnaire. This questionnaire is typically utilized by various organizations, such as government agencies or non-profit advocacy groups, to gather information about instances of discrimination in order to investigate and take appropriate action. The questionnaire helps to ensure that individuals affected by employment discrimination can provide detailed and necessary information to initiate a formal complaint process, seek legal remedies, or receive support in addressing their concerns.

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What is employment discrimination intake questionnaire?

The employment discrimination intake questionnaire is a form used to gather information about potential cases of discrimination in the workplace. It helps to identify any discriminatory practices or actions that may have occurred.

Who is required to file employment discrimination intake questionnaire?

Any individual who believes they have experienced employment discrimination and wishes to file a complaint is required to submit an employment discrimination intake questionnaire.

How to fill out employment discrimination intake questionnaire?

To fill out the employment discrimination intake questionnaire, you need to provide accurate and detailed information about the alleged discrimination, including dates, names of involved parties, and any supporting evidence or witnesses.

What is the purpose of employment discrimination intake questionnaire?

The purpose of the employment discrimination intake questionnaire is to gather essential details about potential cases of discrimination in order to initiate a formal investigation and evaluation process.

What information must be reported on employment discrimination intake questionnaire?

The employment discrimination intake questionnaire typically requires information such as personal details of the complainant, a description of the alleged discriminatory incident, the names of involved parties, dates, locations, and any supporting evidence or witnesses.

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