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Complaint Under Title VII Of The Civil Rights Act Of 1964 Form. This is a Delaware form and can be use in District Court Federal.
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Tags: Complaint Under Title VII Of The Civil Rights Act Of 1964, Delaware Federal, District Court
(Del. Rev.12/98)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
(Name of Plaintiff or Plaintiffs)
CIVIL ACTION No.
v.
(Name of Defendant or Defendants)
COMPLAINT UNDER TITLE VII
OF THE CIVIL RIGHTS ACT OF 1964
1.
This action is brought pursuant to Title VII of the Civil Rights Act of 1964, as amended, for
employment discrimination. Jurisdiction exists by virtue of 42 U.S.C. §2000e-5. Equitable and other relief are also
sought under 42 U.S.C. §2000e-5(g).
2.
Plaintiff resides at
(Street Address)
(City)
(County)
(State)
(Zip Code)
.
(Area Code) (Phone Number)
3.
Defendant resides at, or its business is located at
(Street Address)
.
(City)
4.
(County)
(State)
(Zip Code)
The discriminatory conduct occurred in connection with plaintiff’s employment at, or application to
place of bussiness
be employed at, defendant’s
(Defendant’s Name)
located at
(Street Address)
.
(City)
(County)
(State)
(Zip Code)
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5.
The alleged discriminatory acts occurred on
,
,
(Day)
! is
.
(Month)
(Year)
! is not continuing.
6.
The alleged discriminatory practice
7.
Plaintiff filed charges with the Department of Labor of the State of Delaware,
(Agency)
(Street Address)
(City)
(County)
(State)
(Zip Code)
, regarding
defendant’s alleged discriminatory conduct on
,
(Day)
8.
,
(Year)
Plaintiff filed charges with the Equal Employment opportunity Commission of the United States
,
regarding defendant’s alleged discriminatory conduct on:
(Day)
9.
.
(Month)
,
(Month)
.
(Year)
The Equal Employment Opportunity Commission issued the attached Notice-of-Right-to-Sue letter
,
which was received by plaintiff on:
(Day)
,
(Month)
.
(Year)
(NOTE: ATTACH NOTICE-OF-RIGHT-TO-SUE LETTER TO THIS COMPLAINT.)
10.
The alleged discriminatory acts, in this suit, concern:
A.
! Failure to employ plaintiff.
B.
! Termination of plaintiff’s employment.
C.
! Failure to promote plaintiff.
D.
! Other acts (please specify below)
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11.
Defendant’s conduct is discriminatory with respect to the following:
A.
B.
! Plaintiff’s color
C.
! Plaintiff’s sex
D.
! Plaintiff’s religion
E.
12.
! Plaintiff’s race
! Plaintiff’s national origin
A copy of the charges filed with the Equal Employment Opportunity Commission is attached to this
complaint and is submitted as a brief statement of the facts of plaintiff’s claim.
13.
If relief is not granted, plaintiffs will be irreparably denied rights secured by Title VII of the 1964
CivilRights Act, as amended.
14.
Plaintiff’s has no adequate remedy at law to redress the wrongs described above.
THEREFORE, Plaintiff prays as follows: (Check appropriate letter(s))
A.
! That all fees, cost or security attendant to this litigation be hereby waived.
B.
! That the Court appoint legal counsel.
C.
! That the Court grant such relief as may be appropriate, including injunctive orders, damages,
cost and attorney's fees.
I declare under penalty of perjury that the foregoing is true and correct.
Dated:
(Signature of Plaintiff)
(Signature of additional Plaintiff)
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