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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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Report discrimination to a local Fair Employment Practices Agency (FEPA). If the discrimination breaks both a state and federal law, the FEPA will also send your complaint to the EEOC. Use the EEOC's directory of field offices to find the FEPA near you.
Report the incident of discrimination with your company's human resources department. Report the incident of discrimination with your manager, if they were not the culprit. Report the discrimination to the Equal Employment Opportunity Commission (EEOC), within 300 days of your incident.
Typical outcomes if discrimination is found An employer may be required to hire, reinstate, or promote an applicant/employee. In addition, an applicant or employee may obtain an award of monetary damages.
Examples of Employment Discrimination Failure to hire. Harassment. Quid pro quo: Conditioning employment or promotion on sexual favors. Hostile Work Environment: Continuous actions and comments based on protected characteristics that create an uncomfortable and hostile workplace. Job assignment. Compensation.
What is the Legal Definition of Harassment? The California Fair Employment and Housing Act (FEHA) broadly defines harassment as any unwelcome verbal, physical, or visual conduct that creates an offensive, hostile, or intimidating work environment.
Examples of harassment include offensive or derogatory jokes, racial or ethnic slurs, pressure for dates or sexual favors, unwelcome comments about a person's religion or religious garments, or offensive graffiti, cartoons or pictures.
FOR ACTS THAT OCCURRED ON OR AFTER 2/15/2024, you must file your complaint within three years of the most recent act of alleged discrimination. If you were terminated, you must file within three years of the date you were first informed you would be terminated.
In the first paragraph, introduce yourself and state your grievance about the problematic recent events. In the following body of text (typically 2-3 paragraphs) recount each incident of workplace harassment exactly as you remember it (even if profane language was involved).
Discrimination at work is more than just an annoyance. It can disrupt your entire life. In New York, employees who face ongoing workplace harassment often wonder if they can sue their employers for the emotional distress and anxiety it causes. The good news is that you can, in most cases.