5+ Sample EEOC Complaint Form Templates

You can settle most discrimination cases at the place of work through mediation. If this does not work, feel free to file a complaint to the Equal Employment Opportunity Commission using EEOC complaint form PDF within 15 days. You may also Discrimination Complaint Letters.

Filing a job discrimination lawsuit against your employer takes confidence, and so you must use the free EEOC Complaint form word only when you are sure about what you are doing. There is time limit to file a charge. Usually, you are given 15 days to do so with all possible means. Therefore, gather your facts and present only facts within this period. You may also visit Complaint Letters.

Employement Discrimination Complaint Form

This Employment Discrimination Complaint Form comes with various tabs for putting information. First names, last name, date of birth are some of the eminent features that need to fill up when you are raising any complaint. This form comes with a set of features like home address, city, state, zip codes etc that needs to be duly filled. There is an option for putting the agency name along with their full address, post code, state and zip code for which you are raising the complaint about discrimination.

EEOC Complaint Form PDF

This is a more detailed form which is available in only PDF format. It has two main sections out of which one column is totally dedicated for filling complainant’s details including their name, full address, phone number and E-mail ID. It consists of various heads and subheads together with caste, religion, age, date of birth that needs to be filled up. It has also two sections where you are asked to write either you have already raised any complaint to your employer and proper justification for the complaint you are raising.

EEOC Complaint Form to Download

This EEOC Complaint Form includes an instruction part where it has already explained the suspected reasons for which a complaint can be raised. It ensures that name of state department; agency, commission or college can be fulfilled before raising any complaint. This also includes name, job title, home address and details of the discriminatory options that need to be duly fulfilled for raising any complaint about any organization or company. There is a detailed section where discrimination can be described basis of various parameters including age, ancestry, creed, color, family status etc.

Sample EEOC Caomplaint Form

Employee Discrimination Complaint Form

This Employee Discrimination Complaint Form includes full name, street address, city, state, ZIP code which needs to be fully filled when raising a complaint. This form includes the name of the employer, name of labor organization, employment agency name, and name of the state or local government agency for which the discrimination would be raised. It also has a section of discrimination details which can be filled based on color, religion, national origin, genetic information, disability.


1.The print form you download is only active for 15 days after which it could be rendered useless.

2.The 15-days you have to fill in the complaint are calculated in calendar days starting the day you receive the notice from your EEOC counsellor on filing the complaint.

> Conclusion

All of these documents are available in both printable as well as PDF format where a user can edit every section of it. This ensures that the printable format can only be active for 15 days after downloading. As per user requirements, it can easily be custom made as well.


by Jessica

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