Follow the steps to effectively complete your complaint form.

1. Click 'Get Form' button to obtain the complaint form and open it in the editor.
2. Begin by providing your personal contact information in the section designated for the complainant. This includes your full name, email address, home phone number, and physical address. Be sure to specify your preferred method of contact.
3. If applicable, fill out the contact information for your legal representative. This is optional, but if you are represented by an attorney, it is necessary to include their details.
4. Provide details about the employer you are filing the complaint against. Indicate if the employer has 15 or more employees and include the company name, address, and the name of the human resources or EEO officer.
5. Next, address your employment history. Indicate if you are still employed, your position, date of hire, and the date employment ended if it has concluded.
6. Specify the outcome you are seeking as a resolution for your case in the corresponding section.
7. Indicate the type of discrimination you experienced by marking the relevant boxes. Provide additional information for each type marked, including your birth date if applicable.
8. Outline the employment harms or actions you have encountered related to your discrimination complaint. Mark the relevant boxes to indicate the specific actions.
9. In the detailed description section, respond to questions regarding the incidents of harm, the individuals involved, and any complaints you may have made regarding the discrimination.
10. Finally, review all the information you have provided for accuracy before signing the form and dating it.
11. After completing the form, you can save your changes, download the document, print it for submission, or share it as needed.

Take the first step toward addressing workplace discrimination by completing your complaint form online today.