⚖️ EEOC Employment Discrimination Complaint

Generate an official EEOC Charge of Discrimination

Why File with EEOC?

✅ Free federal investigation - No attorney needed, no filing fee
✅ EEOC investigates for you - Government does the work
✅ Can lead to settlement - EEOC mediates and negotiates
✅ EEOC can litigate - Federal lawsuit on your behalf
✅ Get right-to-sue letter - Required to file private lawsuit
✅ 180-300 day deadline - File within 180 days (300 if state has agency)

Protected Classes: Race, Color, National Origin, Religion, Sex, Age (40+), Disability, Genetic Information, Retaliation

Employer Size: Must have 15+ employees (20+ for age discrimination)

Your Information (Charging Party)

Your Full Name *

Street Address *

City *

State *

ZIP *

Phone *

Email

Date of Birth Required if filing age discrimination claim

Employer Information (Respondent)

Employer/Company Name *

Employer Type *

Employer Address *

City *

State *

ZIP *

Employer Phone

Number of Employees * Employer must have 15+ employees for Title VII, 20+ for age discrimination

Employment Details

Your Job Title/Position *

Department

Employment Status *

Date Hired

Date Terminated/Resigned (if applicable)

Basis of Discrimination

Select all protected classes that apply (check all that apply):

Race Color National Origin Religion Sex (including pregnancy, sexual orientation, gender identity) Age (40 or older) Disability Genetic Information Retaliation (for filing complaint or opposing discrimination)

Type of Discrimination

Select all that apply:

Hiring Discrimination (Not Hired) Wrongful Termination/Discharge Failure to Promote Harassment (Hostile Work Environment) Retaliation Unequal Pay/Compensation Different Terms and Conditions Denial of Reasonable Accommodation (disability/religion) Constructive Discharge (Forced to Resign) Discriminatory Discipline Demotion Other

Timeline

Date of First Discriminatory Act *

Date of Most Recent Discriminatory Act *

Is the Discrimination Ongoing?

⚠️ IMPORTANT DEADLINE:

You must file within 180 days of the discriminatory act
If your state has a Fair Employment Practices Agency (FEPA), you have 300 days
Filing late may result in your charge being dismissed

Detailed Description of Discrimination

Describe what happened in detail * Be specific and detailed. Include names, dates, and exact quotes if possible.

How were others treated differently? Show how similarly situated employees outside your protected class were treated better

Witnesses and Evidence

Do you have witnesses?

List witnesses (if any)

Do you have documentary evidence?

List evidence/documentation (if any)

Prior Complaints

Did you file an internal complaint with your employer?

If yes, provide details

Did you file with a state or local civil rights agency?

If yes, provide details

Verification and Authorization

I certify that the information provided in this charge is true and correct to the best of my knowledge I understand that providing false information may result in penalties I authorize the EEOC to investigate this charge and contact my employer I understand that the EEOC may offer mediation as a voluntary option I understand my right to request a right-to-sue letter to file in federal court

📋 How to File Your EEOC Charge

Online: Visit publicportal.eeoc.gov to file electronically
By Mail: Mail completed form to your nearest EEOC field office
In Person: Visit your nearest EEOC field office (no appointment needed)
By Phone: Call 1-800-669-4000 (TTY: 1-800-669-6820)

Find your nearest office: www.eeoc.gov/field-office