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Get the free EEO COMPLAINT FORM - Louisiana Department of Health

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Revised 7/20/2016EEO COMPLAINT FORMEmployee Name:Personnel #:Office:Location:Respondent Name: Name(s) of Person(s) allegedly discriminating: Date Alleged Discrimination Occurred: Detailed Description
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How to fill out eeo complaint form

01
To fill out an EEO complaint form, follow these steps:
02
Start by carefully reading the instructions provided with the form. This will help you understand the requirements and sections of the form.
03
Gather all the necessary information and documentation relevant to your complaint. This may include details about the alleged discrimination, evidence, dates, witnesses, etc.
04
Begin filling out the personal information section of the form, which typically includes your name, contact information, and details about your current employment status.
05
Proceed to the section where you will outline the details of your complaint. Be specific and provide as much information as possible to support your allegations.
06
Attach any supporting documentation or evidence that you have gathered to strengthen your case. Make sure to label and organize these attachments properly.
07
Review your completed form thoroughly to ensure accuracy and completeness. Check for any errors or missing information.
08
Sign and date the form to certify that the information you provided is true and accurate to the best of your knowledge.
09
Make copies of the completed form and all attachments for your records.
10
Submit the filled-out EEO complaint form and its copies to the appropriate agency or entity as instructed in the form's instructions.
11
Keep a copy of the submitted form and any related correspondence for your reference.

Who needs eeo complaint form?

01
Anyone who believes they have been subjected to discrimination in the workplace or in a program receiving federal financial assistance may need an EEO complaint form.
02
Employees, job applicants, contractors, and beneficiaries of federal financial assistance programs may require an EEO complaint form to formally lodge their grievances.
03
Additionally, individuals representing others in discrimination cases, such as attorneys or advocates, may also need to be familiar with the EEO complaint form and its processes.
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The EEO complaint form is a document used to file a complaint regarding discrimination in the workplace based on race, color, religion, sex, national origin, age, disability, or genetic information.
Any employee or job applicant who believes they have been discriminated against in the workplace based on the protected categories can file an EEO complaint form.
To fill out an EEO complaint form, individuals must provide personal information, details of the discriminatory act, and any relevant supporting evidence. It is important to follow the specific instructions provided with the form.
The purpose of the EEO complaint form is to formally document allegations of workplace discrimination and initiate the investigation process by the Equal Employment Opportunity Commission or relevant authority.
The EEO complaint form requires personal information, the name and contact details of the individual filing the complaint, details about the employer or organization, descriptions of the discriminatory acts, and any witnesses or supporting documentation.
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