The Employment Retaliation Overview form provides essential guidance for individuals who believe they have faced retaliation in the workplace due to opposing illegal employment practices or participating in related proceedings. This form helps clarify the legal standards surrounding employment retaliation under various anti-discrimination statutes, distinguishing it from other employment-related forms by focusing specifically on retaliation claims. It is designed to inform employees of their rights and the legal ramifications of retaliatory actions by employers.
This form is applicable in scenarios where employees suspect they have been retaliated against for engaging in protected activities, such as reporting discrimination or participating in investigations. Common situations include being denied a promotion, facing disciplinary action after filing a complaint, or being demoted following involvement in a discrimination lawsuit. Utilizing this form can help clarify the steps to take in such situations and outline potential legal remedies.
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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.

We protect your documents and personal data by following strict security and privacy standards.
Retaliation in the Workplace: What to Look Out for After You File a Complaint You're Excluded or Left Out.You're Reassigned to a Different Shift or Department.You're Passed Over for a Promotion or Raise.Your Pay or Hours are Cut.You Encounter More Harassment or Bullying.You're Fired from Your Job.
When you file a job discrimination complaint with the EEOC or otherwise participate in an EEOC investigation or lawsuit, you are protected against retaliation regardless of the validity or reasonableness of the original allegation of discrimination.
For example, depending on the facts, it could be retaliation if an employer acts because of the employee's EEO activity to: reprimand the employee or give a performance evaluation that is lower than it should be; transfer the employee to a less desirable position; engage in verbal or physical abuse;
In order to assert a prima facie claim of retaliation under the FLSA, a plaintiff must prove: (1) that he or she engaged in an activity protected by the FLSA; (2) that he or she suffered adverse action by the employer subsequent to or contemporaneous with such protected activity; and (3) a causal connection existed
Retaliatory actions are not limited to formal personnel actions such as termination, demotion, non-promotion, or non-selection. Retaliatory actions are broadly defined to harassing behavior, significant changes to job duties or working conditions, and even threats to take personnel actions.
Some examples of retaliation would be a termination or failure to hire, a demotion, a decrease in pay, a decrease in the number of hours that you've worked. The cause will be obvious things such as a reprimand, a warning or lowering of your evaluation scores.
Per federal case law and regulatory agency guidance, there are three essential elements in a claim of retaliation: Protected activity. Adverse action. Causal connection.