This legal template includes 8 fields. File a formal complaint documenting workplace discrimination based on protected characteristics. Free to customize and use on ZenBuild.
Complainant Full Name (text, required)
Complainant Email (email, required)
Employer / Company Name (text, required)
Basis of Discrimination (checkboxes, required) — options: Race / Color, Gender / Sex, Age, Disability, Religion, National Origin, Pregnancy
Type of Discriminatory Action (dropdown selection, required) — options: Termination / Firing, Demotion, Harassment, Pay Disparity, Denial of Promotion, Hostile Work Environment
Description of Incident(s) (long text, required)
Have you reported this internally to HR? (multiple choice, required) — options: Yes, No, HR is involved in the complaint
