Get De 8498

The De 8498 form serves as a crucial tool for individuals wishing to file a discrimination complaint with the Employment Development Department. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to fill out the De 8498 form online.

1. Click ‘Get Form’ button to access the form and open it in the online editor.
2. Begin by filling out the 'Complainant Information' section. Provide your preferred title (Miss, Ms., Mrs., Mr., or Other), followed by your home, work, and cell phone numbers, as well as your name, street address, email, city, zip code, and state.
3. In the 'Complainant Contact Information' section, select a convenient time during business hours to be contacted about your complaint and provide the corresponding phone number.
4. Fill in the 'Contact Information for the person(s) who you claim discriminated against you.' Include the name of their employer, the names of the individuals, their address, phone number, and the dates of the first and most recent occurrences of discrimination.
5. In the 'Tell us about the incident(s)' section, briefly explain what occurred, how you were discriminated against, the dates of the incidents, and include any names or titles of individuals involved. Mention any differences in treatment experienced by others, and attach relevant documents if necessary.
6. List any witnesses in the specified area, providing their names, addresses, and phone numbers for potential follow-up.
7. Indicate the basis for the discrimination by checking the relevant boxes such as age, race, disability, etc. You can check more than one box if applicable.
8. If you have previously filed a complaint against the same person(s)/entity, answer the questions provided regarding that complaint. If not, proceed to the next section.
9. Describe what corrective action or remedy you are seeking regarding the discrimination experienced.
10. Decide whether you wish to authorize a personal representative to handle your complaint. If you choose 'Yes,' complete the relevant section with the representative's details.
11. Indicate whether you wish to pursue mediation for your complaint, checking either 'Yes' or 'No.' This step is essential before processing your complaint.
12. Finally, provide your signature and date in the 'Complainant’s Signature' section. This action will initiate the processing of your complaint.
13. After completing the form, you can save your changes, download the completed form, print it, or share it as needed.

Complete your De 8498 form online today to ensure your discrimination complaint is submitted effectively.