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EEOC Form 5 (5/01)CHARGE OF DISCRIMINATION This form s affected by the Privacy Act of 1974. See enclosed Privacy Act Statement and other information before completing this form. Charge Presented To:
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How to fill out eeoc form 5

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How to fill out eeoc form 5

01
To fill out EEEOC Form 5, follow these steps:
02
Start by gathering all the necessary information and documentation related to the employment discrimination incident.
03
Enter your personal information, including your name, address, phone number, and email address, in the appropriate fields.
04
Provide details about the employer, including the company name, address, and contact information.
05
Specify the date(s) of the alleged discrimination and provide a brief description of the incident(s) in the designated section.
06
Indicate the type(s) of discrimination experienced, such as race, gender, age, disability, etc.
07
Describe any witnesses who may have observed the discriminatory behavior and provide their contact information if available.
08
If applicable, provide information about any attempts made to resolve the issue internally within the company.
09
Sign and date the form, affirming that the information provided is truthful to the best of your knowledge.
10
Make copies of the completed form for your records.
11
Submit the original form to the appropriate EEEOC office.

Who needs eeoc form 5?

01
EEOC Form 5 is needed by individuals who believe they have been a victim of employment discrimination.
02
This includes current or former employees, job applicants, and individuals who believe they were denied equal employment opportunities based on factors such as race, color, religion, sex, national origin, age, disability, or genetic information.
03
Filing this form allows the Equal Employment Opportunity Commission (EEOC) to investigate the allegations and take appropriate action to address the discrimination.
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