EEOC Form 5 2001 free printable template

EEOC Form 5 5/01 CHARGE OF DISCRIMINATION Charge Presented To This form is affected by the Privacy Act of 1974. Law 93-579 authority to request personal data and its uses are FORM NUMBER/TITLE/DATE. EEOC Form 5 Charge of Discrimination 5/01. See enclosed Privacy Act Statement and other information before completing this form. Agency ies Charge No s FEPA X EEOC and EEOC State or local Agency if any Name indicate Mr. It is not mandatory that this form be used to make a charge. NOTICE OF RIGHT...

How to fill out EEOC Form 5

How to fill out EEOC Form 5

1. Download the EEOC Form 5 from the official EEOC website.
2. Start by filling out your personal information in the designated sections, including your name, address, and contact information.
3. Provide the name and address of the organization or employer you are filing the complaint against.
4. Clearly state the reasons for your complaint, including specific incidents of discrimination or harassment.
5. List any witnesses who can support your claim, along with their contact information.
6. Indicate the date(s) when the alleged discrimination occurred.
7. Sign and date the form at the bottom to certify that the information provided is true and accurate.
8. Submit the completed form through the appropriate channels indicated on the form or the EEOC website.

Who needs EEOC Form 5?

1. Individuals who believe they have been discriminated against in employment based on race, color, religion, sex, national origin, age, disability, or genetic information need EEOC Form 5.
2. People seeking to file a charge of discrimination with the Equal Employment Opportunity Commission (EEOC) use this form.

• Who needs a Charge of discrimination?
• What is the Charge of discrimination for?
• What documents must accompany the Charge of discrimination?
• • Does the Charge of discrimination have a validity period?
  • What information must be provided in the Charge of discrimination?
  • What do I do with the form after its completion?

Who needs a Charge of discrimination?

This form is used by individuals who believe that they are discriminated at their work place due to their race, sex, religion, sexual orientation or other factors. The charge of discrimination is the first step before filing a job discrimination lawsuit.

What is the Charge of discrimination for?

This document contains a very important information which is required by the US Equal Employment Opportunity Commission. This includes the personal information about the complainant and type of discrimination. This form triggers the investigation of the individual’s case.

What documents must accompany the Charge of discrimination?

As a rule, this form is not accompanied by other documents. You may need to provide additional documents after filing this one.

Does the Charge of discrimination have a validity period?

The document must be filed as soon as the discrimination took place and not later than 180 days after the incident.

What information must be provided in the Charge of discrimination?

While completing the form, the complainant has to add the following information:

• Name of the State or Local Agency
• Name, street address, city, phone number, date of birth of the complainant
• Name, street address, number of employees, phone number of the employer, labor organization, employment agency, etc. who discriminated
• Type of discrimination (check the right box: race, retaliation, color, sex, age, religion, disability, national origin, other)
• Date the discrimination took place

The complainant and the charging party also have to sign and date the charge.

The charge of discrimination also must be certified by the notary public.

What do I do with the form after its completion?

The filled out and signed form has to be filed with the US Equal Employment Opportunity Commission.

People Also Ask about

What are the 7 types of discrimination?

Types of Discrimination Age Discrimination. Disability Discrimination. Sexual Orientation. Status as a Parent. Religious Discrimination. National Origin. Pregnancy. Sexual Harassment.

What are the 9 types of discrimination?

The 9 protected characteristics Age. Gender. Race. Disability. Religion or belief. Sexual orientation. Gender reassignment. Marriage or civil partnerships.

What is an example of EEOC?

Disability Discrimination A national package delivery company violated federal law, said the EEOC, when it treated a truck driver who was unable able to drive after suffering a minor stroke less favorably than drivers who'd lost the right to drive due to driving while intoxicated.

What is the most common complaint brought to the EEOC?

Remember, retaliation is by far the number-one complaint that the EEOC receives.ing to recent data, the top five EEOC complaints reported nationally are: Retaliation: 39,110. Disability: 24,238. Race: 23,976. Sex (including pregnancy): 23,532. Age: 15,573.

What is the most common type of discrimination?

The most prevalent forms of discrimination in the workplace seen today are race and national origin. Discrimination based on national origin occurs when a business is opened by persons of one nationality who then discriminate in their hiring practices by only hiring other persons of their own nationality.

What are the 4 ways you can be discriminated?

The 4 types of Discrimination Direct discrimination. Indirect discrimination. Harassment. Victimisation.

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What is EEOC Form 5?

EEOC Form 5 is a form used by the Equal Employment Opportunity Commission (EEOC) to collect data on certain employment practices that may impact job seekers. It is primarily focused on issues related to equal employment opportunities and discrimination.

Who is required to file EEOC Form 5?

Employers who meet specific criteria, including those with a certain number of employees and those that are federal contractors or subcontractors, are required to file EEOC Form 5.

How to fill out EEOC Form 5?

To fill out EEOC Form 5, employers need to provide information regarding their organization, such as the number of employees, employment practices, and specific data related to their hiring and employment policies. The form includes sections that must be completed accurately and may require supplementary documentation.

What is the purpose of EEOC Form 5?

The purpose of EEOC Form 5 is to help the EEOC monitor compliance with equal employment opportunity laws and to identify patterns of discrimination in hiring practices.

What information must be reported on EEOC Form 5?

The information that must be reported on EEOC Form 5 includes details about the employer's demographic data, hiring practices, the number of employees by race and gender, and any actions taken in response to discrimination complaints.