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EEOC Form 5 (11/09)CHARGE OF DISCRIMINATIONCharge Presented To:Agency(IES) Charge No(s):Deaths form is affected by the Privacy Act of 1974. See enclosed Privacy Act Statement and other information
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How to fill out eeoc form 5 1109

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How to fill out eeoc form 5 1109

01
To fill out the EEOC Form 5 1109, follow these steps:
02
Start by downloading the EEOC Form 5 1109 from the official EEOC website.
03
Begin with the header section and enter the correct agency information, including the name of the agency and the case number.
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Move on to the Complainant Information section and fill in your personal details, such as your full name, contact information, and identification number.
05
Provide the name of the agency where you work or applied for employment in the Agency Information section.
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Specify the alleged discriminatory action or practice in the Allegation Information section. Provide clear details and supporting evidence, if available.
07
Proceed to the Signature section and sign the form at the designated area.
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Review the completed form for accuracy and completeness before submitting it.
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Attach any supporting documents or evidence that may strengthen your case.
10
Keep a copy of the filled-out form and all supporting documents for your records.
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Submit the EEOC Form 5 1109 either through mail or electronically, as per the instructions provided by the EEOC.

Who needs eeoc form 5 1109?

01
The EEOC Form 5 1109 is needed by individuals who want to file a formal complaint with the Equal Employment Opportunity Commission (EEOC) regarding alleged workplace discrimination or harassment.
02
It is also required by those who have already initiated the EEOC administrative process and need to provide additional information or updates on their complaint.
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EEOC Form 5 (1109) is a form used by federal agencies to submit equal employment opportunity (EEO) complaints to the Equal Employment Opportunity Commission (EEOC).
Federal agencies are required to file EEOC Form 5 (1109) when they receive an EEO complaint from an employee.
EEOC Form 5 (1109) must be filled out by including information about the complainant, the alleged discriminatory acts, and any supporting documentation.
The purpose of EEOC Form 5 (1109) is to provide federal agencies with a standardized way to report and address EEO complaints.
Information about the complainant, the alleged discriminatory acts, and any supporting documentation must be reported on EEOC Form 5 (1109).
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