Get Ca Dfeh 902-1am 2019-2025

The CA DFEH 902-1AM intake form is crucial for initiating a complaint process with the Department of Fair Employment and Housing. This guide will provide you with clear, step-by-step instructions to assist you in completing this form online effectively.

Follow the steps to fill out the CA DFEH 902-1AM form online.

1. Click the ‘Get Form’ button to access the form and open it for editing.
2. Fill in your personal information as the complainant, including your name, telephone number, address, email address, city, state, and ZIP code. Make sure this information is accurate to facilitate communication.
3. Indicate whether you require an interpreter during the process by selecting 'Yes' or 'No.' If you select 'Yes', specify the language needed.
4. Provide the respondent's details, including their name, telephone number, address, city, state, ZIP code, number of employees, and the type of employer.
5. If applicable, use the 'Add Co-respondent' section to enter the details of any additional parties involved, including their name, title, address, and telephone number.
6. Record the dates of harm by entering the first and last dates when you believe the discriminatory or retaliatory action occurred.
7. Select the type of experience you faced: discrimination or harassment, and specify the grounds for this experience from the provided list, such as age, disability, race, and more.
8. Indicate the specific results of the alleged discrimination or harassment by filling in the relevant checkboxes.
9. Indicate if you have an attorney representing you. If 'Yes,' provide their contact information.
10. Briefly describe the reasons you believe you experienced discrimination, harassment, or retaliation. This step is optional.
11. Complete the demographic information section as requested. This information is optional and intended for statistical purposes.
12. Review all information entered into the form to ensure it is accurate and complete.
13. Once satisfied with your entries, save any changes made to the form, and consider downloading, printing, or sharing the completed form as needed.

Take the next step toward addressing your concerns by completing the CA DFEH 902-1AM form online.