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EEOC Form 5 (11/09)CHARGE OF DISCRIMINATIONCharge Presented To:This form is affected by the Privacy Act of 1974. See enclosed Privacy ActEEOCStatement and other information before completing this
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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 EEOC Form 5, follow these steps:
02
Start by downloading the form from the official EEOC website or request a copy from your local EEOC office.
03
Read the instructions carefully before filling out the form.
04
Provide your personal information in the designated sections, such as your name, address, and contact details.
05
Identify the respondent, which is the employer or organization you are filing the complaint against.
06
Select the basis for discrimination from the options provided, such as race, sex, age, etc.
07
Provide a detailed description of the alleged discriminatory actions or events.
08
Attach any supporting documents or evidence that may help your case, such as emails, letters, or witness statements.
09
Sign and date the form to certify that the information provided is true and correct.
10
Make a copy of the completed form for your records.
11
Submit the form to the appropriate EEOC office either in person, via mail, or online as instructed in the form's guidelines.

Who needs eeoc form 5?

01
EEOC Form 5 is needed by individuals who believe they have been discriminated against by employers or organizations covered by federal anti-discrimination laws.
02
This includes employees, job applicants, former employees, and individuals who were retaliated against for reporting discrimination.
03
Anyone who wishes to file a formal complaint with the Equal Employment Opportunity Commission (EEOC) regarding workplace discrimination can use EEOC Form 5.
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EEOC Form 5 is a standardized form used by employers to report the hiring, promotion, and termination of their employees as required by the Equal Employment Opportunity Commission (EEOC).
Employers who are subject to the EEOC regulations and have 100 or more employees are required to file EEOC Form 5.
To fill out EEOC Form 5, employers should gather data on employee demographics such as race, sex, ethnicity, and job categories. This information is then entered into the designated sections of the form following the EEOC guidelines.
The purpose of EEOC Form 5 is to collect data that helps the EEOC monitor compliance with federal laws that prohibit employment discrimination.
EEOC Form 5 requires reporting of information such as the total number of employees, employee demographics, and details about any employment practices that may affect discrimination.
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