
Get the free Employment Discrimination Intake Questionnaire form - NH.gov - nh
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NEW HAMPSHIRE COMMISSION FOR HUMAN RIGHTS
2 CORNELL DRIVE UNIT 2
CONCORD, NEW HAMPSHIRE 03301-8501
(603) 271-2767
FAX: (603) 271-6339
TTD ACCESS: RELAY NH 1-800-735-2964
Email: human rights×NASA.state.NH.us
EMPLOYMENT
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How to fill out employment discrimination intake questionnaire

Point by point, here is how to fill out an employment discrimination intake questionnaire:
01
Begin by carefully reading through the entire questionnaire. Take note of any specific instructions or guidelines mentioned.
02
Provide your personal information accurately and in detail. This may include your full name, contact information, address, and social security number.
03
Fill in the details about the alleged discriminatory incident. Specify the date, time, and location of the incident, as well as the individuals involved and any witnesses present.
04
Clearly explain the nature of the discrimination you experienced. Include details about any discriminatory actions, comments, or policies that were directed towards you.
05
Describe the impact of the discrimination on your employment or work environment. Explain how it made you feel and any adverse effects it had on your job performance, opportunities, or mental well-being.
06
Provide any supporting evidence or documentation that you have. This could include emails, texts, photographs, witness statements, or any other relevant materials that help to substantiate your claims.
07
Answer any additional questions that may be asked on the questionnaire. These questions might include inquiries about prior complaints or any actions you took in response to the discrimination.
Now moving on to who needs an employment discrimination intake questionnaire:
01
Employees who have experienced or witnessed discrimination at their workplace may need to fill out an employment discrimination intake questionnaire.
02
Job applicants who believe they were discriminated against during the hiring process may also be required to complete this questionnaire.
03
The questionnaire may also be needed by individuals who have faced discrimination related to employment benefits, promotions, pay, or any other aspect of their employment.
In summary, filling out an employment discrimination intake questionnaire involves carefully providing accurate information about the alleged incident and detailing the impact it had on your employment. This questionnaire is typically necessary for employees or job applicants who have experienced workplace discrimination.
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What is employment discrimination intake questionnaire?
The employment discrimination intake questionnaire is a form used to gather information about potential discrimination issues in the workplace.
Who is required to file employment discrimination intake questionnaire?
Employees who believe they have been discriminated against based on protected characteristics are required to file the employment discrimination intake questionnaire.
How to fill out employment discrimination intake questionnaire?
The employment discrimination intake questionnaire can be filled out by providing detailed information about the alleged discrimination, including dates, times, witnesses, and any other relevant details.
What is the purpose of employment discrimination intake questionnaire?
The purpose of the employment discrimination intake questionnaire is to help investigate and address potential cases of discrimination in the workplace.
What information must be reported on employment discrimination intake questionnaire?
Information such as the nature of the discrimination, date/time it occurred, witnesses, and any supporting evidence must be reported on the employment discrimination intake questionnaire.
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