Discrimination Charge Withdrawal Letter
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Discrimination Charge Withdrawal Letter Form. This is a Massachusetts form and can be use in Commission Against Discrimination Statewide.
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Tags: Discrimination Charge Withdrawal Letter, Massachusetts Statewide, Commission Against Discrimination
To:
Fr:
Massachusetts Commission Against Discrimination
,
Re:
Vs.
MCAD No:
EEOC No:
Dear Commissioner:
I hereby request permission to withdraw my complaint filed with this Commission
for the following reason:
( )
I wish to file a private right of action in civil court.
( )
I have reached a satisfactory settlement with the Respondent.
( )
I no longer intend to pursue this matter at the Commission.
If applicable, I also wish to withdraw this complaint from the Equal Employment
Opportunity Commission.
I have been advised that it is unlawful for any person or persons to threaten,
intimidate, or harass me because I filed a complaint. I have not been coerced into
requesting this withdrawal.
_______________
Date
_________________________
Complainant’s signature or
Signature of attorney
Please fill out this form and return it to your Attorney Investigator via fax (617) 994-6024.
Failure to submit this information may result in the case remaining open at the MCAD
and/or EEOC.
Withdrawal Form MCAD -AAU
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