Esentation Do you have an attorney or other authorized representative in this matter? YES or NO If YES, please provide the following information: Name of Representative Name of Business Street Address City Phone Number State Email Address Page 3 of 14 Zip Code Fax Number Section 3a: Citizenship or Immigration Status at the Time of the Alleged Discrimination What was your citizenship or immigration status at the time of the alleged discrimination? United States Citizen or.
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How to fill out the DoJ EOIR-58 online
The DoJ EOIR-58 form is used for filing a complaint regarding unfair immigration-related employment practices. This guide provides clear, step-by-step instructions to help users complete the form online, ensuring that all necessary information is accurately captured.
Follow the steps to complete the DoJ EOIR-58 form online effectively.
- Press the ‘Get Form’ button to obtain the form and access it in the online editing interface.
- Begin filling out Section 1, General Information. Provide your full name, contact details, and other personal information as required. Make sure to indicate your gender by circling the appropriate option.
- In Section 2, Representation, indicate whether you have an attorney or other authorized representative. If yes, include their contact information.
- Section 3a pertains to your citizenship or immigration status at the time of the alleged discrimination. Answer the questions accurately, including details about your birthplace and whether you applied for naturalization.
- Continue in Section 3b with your current citizenship or immigration status information. Include specific dates and statuses as necessary.
- In Section 4, provide the name and contact information for the Business or Employer involved in your complaint.
- Section 5 asks for the representation details of the Business/Employer's attorney if applicable. Fill this out with any known information.
- Complete Section 6 regarding the Basis of Discrimination by indicating the reasons for the complaint.
- Proceed to Section 7 to describe any discrimination related to hiring. Provide relevant dates and details regarding your application.
- If you experienced being fired, fill out Section 8 with similar details regarding your termination.
- In Section 9, provide information about any intimidation or retaliation you faced relating to your complaint.
- Complete Section 10 concerning Documentation Practices by detailing any issues with documents you presented.
- In Section 11, indicate the relief you are requesting as a result of the alleged unfair practices.
- Finally, Section 12 requires your signature and date. Ensure all information is accurate before signing.
- Once you have completed the form, save your changes, and prepare to download or print the form for submission.
Complete your documents online to ensure a smooth filing process.
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