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EEOC Form 5 (5/01)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
Obtain a copy of EEOC Form 5 1109.
02
Fill out the personal information section including your name, address, and contact information.
03
Provide details about the discrimination or retaliation that you experienced including dates, names of individuals involved, and a description of what happened.
04
Sign and date the form where indicated.
05
Submit the completed form to the Equal Employment Opportunity Commission (EEOC).

Who needs eeoc form 5 1109?

01
Employees who have experienced discrimination or retaliation in the workplace and want to file a formal complaint with the EEOC.
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EEOC Form 5 1109 is a form used for filing EEO-5 data, which collects employment information from elementary and secondary schools.
All local educational agencies in the United States with 100 or more employees are required to file EEOC Form 5 1109.
To fill out EEOC Form 5 1109, organizations must provide data about their employees' race, ethnicity, and gender, along with total employee counts by job category.
The purpose of EEOC Form 5 1109 is to gather demographic data to evaluate employment practices and ensure equal employment opportunities in the education sector.
The form requires reporting of the number of employees by race, ethnicity, gender, and job category.
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