Get Eeoc Intake Questionnaire

Completing the EEOC Intake Questionnaire online is a crucial step in addressing potential employment discrimination. This comprehensive guide will walk you through each section of the form, ensuring that you provide accurate and complete information.

Follow the steps to successfully complete your EEOC Intake Questionnaire online.

1. Click ‘Get Form’ button to obtain the EEOC Intake Questionnaire and open it in your chosen online editor.
2. Complete the personal information section. Enter your last name, first name, middle initial, mailing address, city, county, state, zip code, and phone numbers. Include your email address and date of birth. If you prefer to maintain privacy regarding sensitive information, you may answer relevant questions using 'Not Known' or 'N/A' as applicable.
3. Indicate your race and whether you are Hispanic or Latino. Additionally, answer if you have a disability by selecting yes or no, and choose from the list of racial options provided.
4. Provide contact information for a person who can be reached if you are unavailable. Include their name, relationship to you, and their address with phone numbers.
5. Identify the organization(s) you believe discriminated against you. Check relevant options such as employer, union, or employment agency. Provide detailed contact information for the organization, including the job location if different from the organization address.
6. Fill out your employment data, including details about whether you are a federal employee, your date of hire, job title when hired, and current pay rate. Include details about your last job and immediate supervisor.
7. Specify the basis for your claim of discrimination by checking all applicable options, such as race, sex, age, disability, and others. If necessary, add explanations for checked boxes.
8. Describe the incidents of discrimination you experienced, including dates, actions taken, and names/titles of those involved. Use additional pages if required.
9. Explain why you believe the actions taken against you were discriminatory, and outline the reasons provided to you for such actions. Ensure you specify who communicated these reasons.
10. Identify any witnesses to the discriminatory incidents and provide their contact details. Specify what you believe these witnesses would say about the events.
11. Check if you have previously filed a charge regarding this matter with the EEOC or another agency, and provide details if applicable.
12. Indicate your preferences regarding the information you provided, choosing between wanting to speak with an EEOC employee or filing a charge of discrimination.
13. After completing the questionnaire, ensure all sections are filled out accurately. Save your changes and then download, print, or share the document as needed.

Complete your EEOC Intake Questionnaire online today to address your employment discrimination concerns.