[Customizable Forms For Claims, Complaints, and Settlements Online ]-My Job Claim
[Customizable Forms For Claims, Complaints, and Settlements Online ]-My Job Claim
[Customizable Forms For Claims, Complaints, and Settlements Online ]-My Job Claim
[Customizable Forms For Claims, Complaints, and Settlements Online ]-My Job Claim
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  • Load image into Gallery viewer, [Customizable Forms For Claims, Complaints, and Settlements Online ]-My Job Claim
  • Load image into Gallery viewer, [Customizable Forms For Claims, Complaints, and Settlements Online ]-My Job Claim
  • Load image into Gallery viewer, [Customizable Forms For Claims, Complaints, and Settlements Online ]-My Job Claim

Internal Complaint of Harassment, Discrimination and / or Retaliation

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Make a "protected" complaint to your employer and put the burden on them to investigate and remedy the problem.

DESCRIPTION: 

This is a "protected" internal complaint of Discrimination, Sexual Harassment, Retaliation and / or Failure to Accommodate.  It is "protected" because the employer cannot retaliate against you for making the complaint (or the employer has committed retaliation).  The protected complaint puts the burden on the employer to investigate and remedy the situation.

The word "protected" also refers to the fact that you must be in a "protected class" to make such an employment civil rights complaint.  To be in a protected class you must be discriminated, harassed or retaliated against because of your: race, religion, color, gender, national origin, pregnancy, sexual orientation or disability.  This complaint can also be used to make a complaint that the employer has failed to grant you a reasonable work accommodation (this is also a protected complaint as disability discrimination).

This internal complaint is often a precursor to making a governmental complaint with the EEOC or DFEH, and ultimately, a settlement demand.

BEST USE OF THIS FORM:

Be as specific as you can when making this complaint.  Include all dates, witnesses, and offensive commutations made or actions taken against you.  Remember to highlight what protected class(es) you are in and how your rights have been violated because of being in the protected class(es).

OTHER FORMS YOU CAN USE WITH THIS FORM:

Once you have access to what is in your employment file, you can use your knowledge of this material to make a demand for unpaid wages or overtime, a complaint for discrimination, harassment or retaliation to the DFEH or EEOC and request either an investigation or an "immediate right to sue."

You can make a DFEH complaint at: https://www.dfeh.ca.gov/complaintprocess/#fileComplaintBody

You can make a EEOC complaint at: http://www.workplacediscriminationlaw.com/eeoc-complaint-form-pdf-and-filing-tips/

Once you have made an internal complaint and backed it up with a government complaint to the DFEH or EEOC, you will have strong leverage to use the My Job Claim.com form for Settlement Demand for Harassment / Discrimination / Retaliation / Failure to Accommodate.

TIPS: 

Only use the portions of the form that apply to what you are complaining about.  For example, if you are only complaining about discrimination and harassment, do not use the retaliation and failure to accommodate portions of the complaint.  Try to concentrate your claims on protected complaints and not get bogged down in irrelevant matters such as unrelated office personality conflict or unrelated complaints related to your job and work. 

Always proofread for typos and format issues to make the document as professional looking as possible.

DISCLAIMER:

My Job Claim.com is not a law firm and we do not provide legal advice.  No attorney-client relationship is created or to be reasonably contemplated by the purchase or use of a My Job Claim.com form.  The forms sold on this site are generalized templates.  The "tips" contained herein are provided for general informational purposes only and should not be relied upon as legal advice.  Our forms should not be relied to achieve a certain result or specifically address your individual situation.  We make no guarantee of the form's ultimate effectiveness and much depends on the how the customer edits and utilizes the form.  If you feel you need legal advice or assistance with our forms or your situation, you should consult experienced legal counsel in your area.