Get Sc Dhec 2780 2020-2025

This guide provides step-by-step instructions for completing the SC DHEC 2780 discrimination complaint form online. Following these instructions will help ensure that you provide all necessary information accurately and effectively.

Follow the steps to successfully complete the SC DHEC 2780 form online.

1. Click the ‘Get Form’ button to access the SC DHEC 2780 form and open it in your preferred editing tool.
2. In the first section, fill out your personal details by providing your last name, first name, and middle initial. Next, enter your address, city, state, zip code, county, home phone number, work phone number, and email address.
3. If the person who experienced discrimination is different from you, complete the second section with their personal details, including their last name, first name, and middle initial, along with their address, city, state, zip code, county, home phone number, work phone number, and email address.
4. Provide the location of the incident in the third section. Include the office name and address, as well as the city, state, zip code, and county. Specify the program or service area related to the incident.
5. In the fourth section, indicate the date or dates when the incident occurred.
6. If you know the names of employees involved in the incident, enter their names in the fifth section.
7. Mark all applicable bases of discrimination in the sixth section. Options include age, disability, race, color, gender identity, religion, denial of interpretation services, genetic information, sex, national origin, sexual orientation, pregnancy, veteran status, and denial of translation services.
8. Provide a brief description of the incident in the last section. Include the date for reference. Finally, sign the form to verify the information provided.
9. Once all fields have been completed and verified, you can save changes, download the completed form, print it, or share it according to your needs.

Take action now and complete your discrimination complaint form online.