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Employment Discrimination Charge Tool

If you believe you have been illegally discriminated against by an employer, you can file a Charge of Discrimination with the U.S. Equal Employment Opportunity Commission (EEOC). If you haven't already, read Discrimination at work? File a charge. to see if this tool is for you.

When you complete the form below, you will get a completed EEOC Form 5: Charge of Discrimination, a customized cover letter to go with your EEOC Form 5, and instructions for how to submit both items to the EEOC.

To create your Charge of Discrimination, follow these steps:
  1. Complete the form below
  2. Click the "Create my charge" button
  3. You will be taken to a new page that has a PDF of your cover letter and charge
  4. Download or print the PDF
  5. Submit the PDF to the EEOC

Please note: this generator will not submit your PDF to the EEOC. You must download or print the PDF and submit it to the EEOC.

Note about non-Texas complaints: See Discrimination at work? File a charge. to determine if you should use this tool.

"*" indicates required fields

Your information

Please indicate Mr., Ms., Mrs., Miss, Dr., Hon., Rev., etc.
If you enter your email address, a copy of your Charge of Discrimination and cover letter will be emailed to you. Including your email will also allow the EEOC to create an electronic portal for your case once you submit your complaint to them.
Enter the phone number you are most likely to be reached at.
Your date of birth * Required
Your address * Required

Who discriminated against you?

Enter the name of the entity that you believe discriminated against you or someone else. The entity could be an employer, labor organization, employment agency, apprenticeship committee, or state or local government agency.
About how many employees or members does the entity that discriminated against you have? The number doesn't need to be exact - you can just provide an estimate if you need to. If the entity has less than 15 employees or members, this form is not applicable to your situation.
Please enter a number greater than or equal to 15.
Enter the phone number for the entity that discriminated against you.
Address of entity that discriminated against you * Required

Details about the discrimination you experienced

What was the discrimination based on? * Required
Why do you believe you were discriminated against? Check all that apply.
Just use a few words. There is more space to tell your whole story below.
Describe what happened and how you were discriminated against. Your charge should contain specific facts if possible, including, for example: the nature of your disability and its impact on you; the types of accommodations you asked for (if any); the dates of any harmful acts; the names (or at the least job titles) of those individuals taking those adverse actions, if you know; and the reasons why you think the harmful actions against you were related to your disability or accommodation request. For example, it may not be enough to say that you requested some unspecified accommodations for an unspecified disability, and your employer responded by firing you. You should include more detail. (This field allows for 1250 characters. Whatever doesn't fit here can be added to the "Additional details" question that is next.)
If the description about what happened to you didn't fit in the last question, the rest of the description can be added here.
When did the discrimination start? * Required
What was the earliest date that discrimination took place?
Did the discrimination end or is it ongoing? * Required
When did the discrimination end? * Required
What was the last date that discrimination took place? If the discrimination all happened on one day, enter the same date you did for when the discrimination started.
I declare under penalty of perjury that the above is true and correct.
Clear Signature
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