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Civil Rights Forms

Equal Employment Opportunities (EEO) Program (Title VII)

for: Current Employees or Applicants.

Submissions may be made by current employees, applicants or a third party on behalf of those individuals. Please provide as much information as possible.

What was the discrimination based upon? (Check all that apply)

Please provide witness contact information (if any).

Witness 1
Witness 2

Third Party Contact Info

Does the employee/applicant know you are submitting a complaint on their behalf?

If you would like to remain anonymous, please skip the section below.