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  1. Selected EEOC Forms. form_5.pdf: Charge of Discrimination: Form 131: Notice of Charge of Discrimination: Form 131-A: Notice of Charge of Discrimination in Jurisdictions Where a FEP Agency Will Initially Process: Form 154: Request for Withdrawal of Charge of Discrimination: Form 161:

  2. Learn how to file a charge of discrimination with EEOC online, in person, by phone, or by mail. Find out the time limits, requirements, and procedures for different types of discrimination claims.

  3. I want this charge filed with both the EEOC and the State or local Agency, if any. I will advise the agencies if I change my address or phone number and I will cooperate fully with them in the processing of my charge in accordance with their procedures. NOTARY – When necessary for State and Local Agency Requirements

  4. Welcome to EEOC E-File for Attorneys A charge of discrimination is a signed statement asserting that an employer, union, or labor organization engaged in employment discrimination. It requests the EEOC take remedial action.

  5. Please notify EEOC or the state or local agency where you filed your charge if retaliation is taken against you or others who oppose discrimination or cooperate in any investigation or lawsuit concerning this charge.

  6. EEOC Form 5 modified. Title: eeoc form 5 - general-modified Created Date: 1/23/2023 1:36:14 AM ...

  7. 29 mar 2018 · EEOC Form 5 (11/09) CHARGE OF DISCRIMINATION Charge Presented To: Agency(ies) Charge No(s): This form is affected by the Privacy Act of 1974. See enclosed Privacy Act Statement and other information before completing this form. FEPA X EEOC 480-2017-00965 and EEOC State or local Agency, if any

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