Get Erd-10240 - Department Of Workforce Development

This guide provides clear and supportive instructions for completing the ERD-10240 form online. By following these steps, users can effectively submit a discrimination complaint to the Department of Workforce Development.

Follow the steps to complete the ERD-10240 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out the 'Complainant Information' section with your legal name, address, and telephone numbers. Ensure that all details are accurate and clearly legible.
3. Provide the 'Respondent Information' by entering the name, address, and telephone number of the housing provider or individual you believe discriminated against you. If there are multiple respondents, use an extra sheet.
4. Indicate whether your complaint has been filed with another agency by checking 'Yes' or 'No.' Be sure to refer to the instructions for more details if necessary.
5. In the 'County' section, write the name of the county where the discrimination occurred.
6. Detail the basis for your complaint. Specify the grounds for discrimination, such as race, sex, or disability, by filling in the appropriate information as required.
7. In the 'Statement' section, describe each discriminatory action taken by the respondent and explain why you believe you were treated differently based on the basis you previously listed.
8. Enter the dates when the discriminatory actions first and last occurred in the 'Dates' section.
9. Review all sections for accuracy. Ensure everything is filled out completely before finalizing your submission.
10. Sign and date the form to acknowledge that your information is true and correct. Make copies for your records.
11. Once completed, save changes, download, print, or share the form as needed.

Complete your complaint form online today for a timely resolution.