Iowa Discrimination Complaint Form for Employee to Employer Company

State:
Multi-State
Control #:
US-346EM
Format:
Word; 
Rich Text
Instant download

Description

This form may be used by an employee to formally initiate a discrimination complaint. The completed form should be submitted to human resources.
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  • Preview Discrimination Complaint Form for Employee to Employer Company
  • Preview Discrimination Complaint Form for Employee to Employer Company
  • Preview Discrimination Complaint Form for Employee to Employer Company

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FAQ

I have been working for [NAME OF EMPLOYER] for 4 years as a packer on the production line. From the point at which Jane Doe became my shift manager [DATE], I have been experiencing poor treatment compared to my colleagues. I believe this is because of racial discrimination.

Information about the incident What happened and what you did about it at the time. Include the name and position or job title of any person you reported the unfair treatment to, such as your manager, co-worker, HR officer or your union if you are a member. Where it happened. ... When it happened.

The name, address, and telephone number of the person who is being treated unfairly; The name, address, and telephone number of the employer you are filing the complaint against; A brief description of the event or events that you believe are unfair or harassing; and. The dates these events occurred.

A written complaint, containing the information requested in the form below, may also be submitted by ordinary mail (Iowa Public Information Board, Wallace Building, 502 East 9th St., Des Moines, Iowa 50319), Fax (515-725-1789) or email (IPIB@iowa.gov).

How do I file a discrimination claim in my state? In Iowa, a discrimination complaint can be filed either with the state administrative agency, the Iowa Civil Rights Commission (ICRC) or the federal administrative agency, the Equal Employment Opportunity Commission (EEOC).

You may file a charge of employment discrimination at the EEOC office closest to where you live, or at any one of the EEOC's 53 field offices. Your charge, however, may be investigated at the EEOC office closest to where the discrimination occurred.

Unfair discrimination can take many forms. For example, where an employee is unnecessarily sidelined because he/she is disabled this could be unfair discrimination. If an employee is sexually harassed this is a form of unfair discrimination based on sex.

Q: How can employees file whistleblower complaints with Iowa OSHA? A: Employees may file whistleblower complaints online, through the mail/email, via fax, by telephone, or in person at a 150 Des Moines Street, Des Moines, Iowa 50309. Whistleblower complaints do not need to be in a specific format.

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Iowa Discrimination Complaint Form for Employee to Employer Company