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https://www.eeoc.gov/employees/charge.cfm
Schedule an intake interview; With the EEOC. If you believe that you have been discriminated against at work because of your race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age (40 or older), disability or genetic information, you can file a Charge of Discrimination. A charge of ...
http://www.workplacediscriminationlaw.com/forms/EEOC_Charge_Form.pdf
EQUAL EMPLOYMENT OPPORTUNITY COMMISSION INTAKE QUESTIONNAIRE. Please immediately complete the entire form and return it to the U.S. Equal Employment Opportunity Commission ("EEOC"). REMEMBER, a charge of employment discrimination must be filed within the time limits imposed by law,
https://www.fcc.gov/general/eeo-forms
Equal Employment Opportunity forms available for use and available in Acrobat (pdf) format. ... FCC Form 396-C ("MVPD EEO Program Annual Report") FCC Form 397 ("Broadcast Mid-Term Report") ... that anyone filing such a complaint should include as much specific information and supporting evidence as possible in order for the EEO staff to ...
https://twc.texas.gov/jobseekers/how-submit-employment-discrimination-complaint
Feel free to complete the form below if you believe you were discriminated against for any of the reasons listed above. Employment Discrimination Complaint Form; When you submit an employment discrimination complaint with the Civil Rights Division, it is automatically submitted with EEOC through our Worksharing Agreement.
http://www.slcc.edu/eeo/docs/forms/eeo-intake-form-employee-fillable.pdf
1 Salt Lake Community College Office of Equal Employment Opportunity (EEO) Intake Form - Employee Miriam Allred 801-957-4561 [email protected] (Please print all information legibly and use a pen.)Please deliver to Miriam Allred at the Taylorsville Redwood Campus.
https://armypubs.army.mil/pub/eforms/DR_a/pdf/A7510.pdf
to adjudicate complaint or appeal. SECTION l - PRE-COMPLAINT INTAKE INTERVIEW. 5. DUTY ORGANIZATION (Complete address including office symbol) 17. PRE-COMPLAINT INTAKE INTERVIEW CONDUCTED: Telephonically. Other (facsimile/e-mail) SECTION II - ORGANIZATION WHERE ALLEGED DISCRIMINATION OCCURRED (Complete address including office symbol) DA …
https://www.dfeh.ca.gov/complaint-process/file-a-complaint/
The first step in filing a complaint with DFEH is to fill out a form called an intake form. The submission of this form initiates an intake interview with a department representative to determine whether a formal complaint will be accepted for investigation.
https://www.energy.gov/diversity/downloads/eeo-intake-form
Download and fill out this form to start the process for Equal Employment Opportunity complaints at the Department of Energy. For more information about the EEO process, visit this site. To get in touch with our Office of Civil Rights, call (202) 586-2218.
https://www.dla.mil/EEO/Business/Complaint-Process/
Pre-Complaint Process (Informal) EEO Pre-complaint Intake Form. If you believe that you have been discriminated against or harassed because of your: Race, Color, Religion, National Origin, Sex, Pregnancy, Gender Identity, Sexual Orientation, Age (40 and over), Disability, Genetic Information, OR; Participation in the EEO process,
https://www.fsis.usda.gov/wps/portal/informational/aboutfsis/civil-rights/eo-and-cr-complaints/pre-complaint-process/pre-complaint-process
This may include, but is not limited to, verification of the information on the Intake Form, clear definition and agreement regarding the scope of the issues, the rights and responsibilities of the Aggrieved while in the EEO complaint process (right to representation and anonymity, etc.), time frames, extension of counseling process, the right ...
https://www.tdcj.texas.gov/divisions/hr/hr-home/eeo-intake.html
Employee Relations Intake. The Intake team receives, processes, and directs all work-related complaints for appropriate resolution. Additionally, to protect the interests of the Agency and Agency Managers, and to ensure the safety and security of agency employees, timely reporting of …
https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/r690_600.pdf
Civilian Personnel Equal Employment Opportunity Discrimination Complaints *Army Regulation 690–600 Effective 9 March 2004 H i s t o r y . T h i s p u b l i c a t i o n i s a m a j o r revision. S u m m a r y . T h i s r e g u l a t i o n e s t a b l i s h e s p o l i c i e s a n d m a n d a t e d p r o c e d u r e s f o r
http://eeo.wv.gov/Documents/EEO%20Intake%20Form.pdf
The Counselee agrees that the information contained in this Intake Form is true and accurate to the best of the Counselee’s knowledge. _____ Counselee _____ Date The EEO Counselor attests that this is a true and accurate representation of the Initial Counseling Session with the above-named Counselee. _____ EEO Counselor _____ Date Revised ...
https://files.nc.gov/ncdhhs/documents/files/hr/ER508-eeoinformalintakecomplaintform.pdf
NC OFFICE OF STATE HUMAN RESOURCES ATTACHMENT A 1 EEO INFORMAL COMPLAINT INTAKE FORM. This form will provide preliminary information in order to …
https://www.cbp.gov/about/eeo-diversity/complaint-process
The complaint must be sufficiently precise to describe the actions or practices, which form the basis of the complaint. To file a complaint of discrimination, a person may use the DHS Formal Complaint Form, which will be provided if a NORTF is issued. Use of the DHS form is not required, but is recommended.
https://www.tdcj.texas.gov/divisions/hr/forms/pers-497.pdf
EEO COMPLAINT FORM Complainant Information (Person Complaining) Name: SSN: ... This complaint includes this two-page form and _____ additional pages attached, ... Civil Rights Division (TWC-CRD) and the U.S. Equal Employment Opportunity Commission (EEOC). I also understand that I may contact the Office of the Inspector General (OIG) if I ...
https://www.oaklandca.gov/documents/eeo-complaint-intake-form
Mar 26, 2018 · The official website of the City of Oakland. Find out about meetings, request City services through OAK 311, or contact the Mayor and City Council.
https://www.ascr.usda.gov/sites/default/files/CSD_Complaint_Intake_Form.pdf
EEO COUNSELING INTAKE FORM Page 3 of 4 If you have participated previously in the EEO process, what is the current status of the action(s)? What is the date of the most recent incident you would like to discuss with an EEO Counselor? Request for Relief: What are you seeking in relief? ELECTION OF PARTICIPATION – INFORMAL EEO COMPLAINT PROCESS
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