Get Eeoc Intake Questionnaire 2016-2025

The EEOC Intake Questionnaire is a vital document for individuals seeking to report instances of employment discrimination. This guide provides a comprehensive, step-by-step approach to completing the questionnaire online, ensuring you have the necessary information to effectively present your case.

Follow the steps to complete the EEOC Intake Questionnaire online.

1. Press the ‘Get Form’ button to access the questionnaire and open it in your preferred online editor.
2. Begin by entering your personal information in the designated fields, including your last name, first name, middle initial, address, phone numbers, date of birth, and email address. Ensure all information is accurate and complete.
3. Indicate whether you have a disability. You will also need to specify your ethnicity and race by choosing from the provided options.
4. Provide details about the organization where you believe discrimination occurred. This includes the organization's name, contact information, and the nature of your employment.
5. Fill in your employment data, such as your job title, the date you were hired, pay rate, and supervisor's name. If applicable, include details about your job application.
6. Describe the basis for your discrimination claim by checking the appropriate boxes related to your situation, such as race, sex, national origin, or disability.
7. Detail the discriminatory actions you experienced, including dates and the names of individuals involved. Attach additional pages if necessary.
8. Provide an explanation of why you believe the actions taken against you were discriminatory.
9. If applicable, identify witnesses to the discriminatory incidents and describe their anticipated testimony.
10. At the end of the form, indicate how you would like the EEOC to proceed with your case, choosing whether to file a charge or seek further information.
11. Sign and date the questionnaire before submitting it online.
12. Finally, save your completed form, and you may choose to download, print, or share it as required for your records.

Complete your documents online now to ensure your rights are protected.