Follow the steps to fill out the questionnaire accurately.

1. Press the ‘Get Form’ button to access the Questionnaire and open it for editing.
2. Begin by entering your personal information in the designated fields. Include your last name, first name, middle initial, and contact details such as home and cell phone numbers, email address, and physical address.
3. Indicate the best way and times to reach you. This information will help the office contact you effectively.
4. Complete the section regarding your personal demographics. Provide your date of birth, and select your sex and ethnicity, including whether you have a disability.
5. If applicable, enter the contact information for someone who can be reached if you are unavailable. This could be a family member, friend, or other contact.
6. Fill in the details regarding the organization or individual you believe discriminated against you. Include their name, address, and email, as well as the number of employees at their location.
7. Document your employment information. Enter your job title, pay rates, and the duration of your employment, including when you applied for a job and any negative actions taken against you.
8. In the discrimination section, check all applicable boxes related to the grounds of discrimination you claim, detailing any relevant incidents.
9. If you reported a disability, specify the nature and whether your employer is aware of it. Describe how it affects your work.
10. Note any witnesses to the alleged discrimination and their potential testimonies.
11. If you have filed with other agencies, be sure to include those details as well, including any charge numbers.
12. Once you have filled out the entire Questionnaire, review it to ensure all sections are complete and answers are clear. Save your changes.
13. After ensuring accuracy, download, print, or share the completed form as necessary. Submit it to the Fair Employment Practice Office promptly.

Begin the process of completing your documents online today.