How to Enforce Employment Rights Under the Americans with ...

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ALLEGATIONS OF DISCRIMINATION (p. 2)BASIS Check the basis for your complaint (the reason you believe the action was taken against you).( ) race ( ) color ( ) religion ( ) sex( ) national origin ( ) age ( ) disability ( ) retaliationIdentify yourself in terms of the basis or bases you checked, for example, “I am black” or “I am a disabledperson.”______________________________________________________________________________________________________________________________________________________________________________If you checked “retaliation,” have you ever previously filed a charge with EEOC or another civil rights agencyor complained to your employer about discrimination? ( )yes ( )noIf yes, please explain: _____________________________________________________________________________________________________________________________________________________________If none of the above bases applies, describe the reason you believe the action was taken against you:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________EMPYLOYMENT HISTORY (for example, date of hire, position hired into, title of each position held, datesin each position; or date employment sought and position applied for):___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________28
ALLEGATIONS OF DISCRIMINATION (p. 3)BRIEF EXPLANATION OF WHAT OCCURRED Give a description of the events leading to the incidentsof harm and describe in detail the harm that occurred: when did it happen, who did it, how did it happen, wheredid it happen? Be sure to give names and titles of persons involved, incidents and dates of each incident, andany details which support your complaint.29
Page 1: How to Enforce Employment Rights Un
Page 4 and 5: Sample Charge Form (ACRD/EEOC) 35Sa
Page 6 and 7: There are limits to the types of la
Page 8 and 9: discrimination with the EEOC agains
Page 10 and 11: discrimination has been issued, the
Page 14 and 15: Example of a charge filed by a pers
Page 16: D. How To File A Charge Of Discrimi
Page 19 and 20: the type of discrimination (e.g., d
Page 21 and 22: For example, the investigator may a
Page 23 and 24: litigate, it will send the charging
Page 25 and 26: the employee to find an effective a
Page 27 and 28: early if the agency does not believ
Page 29 and 30: efore you sign, let the staff of th
Page 31: Sample EEOC Intake QuestionnaireTit
Page 35 and 36: ALLEGATIONS OF DISCRIMINATION (p. 5
Page 37 and 38: ALLEGATIONS OF DISCRIMINATION (p. 7
Page 39 and 40: Sample Charge Form (ACRD/EEOC)Title
Page 41 and 42: Sample Notice of Right to Sue Lette
Page 43 and 44: Section 706(f) (1) and (f) (3) of t
Page 45: Sample ChronologyChronologyRaul Cha

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