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Complaint Title VII Form. This is a Missouri form and can be use in District Court Federal.
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Tags: Complaint Title VII, Missouri Federal, District Court
UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF MISSOURI
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Plaintiff
vs.
(1)
(2)
(3)
Defendant(s)
Case No.
COMPLAINT TITLE VII
Comes now plaintiff,
and for his/her claim against the defendant(s)
states and alleges as follows:
1. This action is brought and jurisdiction lies pursuant to 42 U.S.C. Section 2000e.5. Venue is
proper in this district;
2. Plaintiff is a
who resides at
race
sex
street address
state
city
3. The defendant (1)
zip
is an employer, employment agency, or labor
organization, as defined in 42 U.S.C. Section 2000e, and is located at
Address
1
American LegalNet, Inc.
www.FormsWorkflow.com
NOTE: USE THIS PAGE ONLY IF THERE IS MORE THAN ONE DEFENDANT
3a. The defendant (2)
is an employer, employment agency, or labor
organization, as defined in 42 U.S.C. Section 2000e, and is located at
Address
3b. The defendant (3)
is an employer, employment agency, or labor
organization, as defined in 42 U.S.C. Section 2000e, and is located at
Address
3c. The defendant (4)
is an employer, employment agency, or labor
organization, as defined in 42 U.S.C. Section 2000e, and is located at
Address
3d. The defendant (5)
is an employer, employment agency, or labor
organization, as defined in 42 U.S.C. Section 2000e, and is located at
Address
3e. The defendant (6)
is an employer, employment agency, or labor
organization, as defined in 42 U.S.C. Section 2000e, and is located at
Address
2
American LegalNet, Inc.
www.FormsWorkflow.com
4. On or about
, 20
, defendant(s) (Specify the unlawful employment,
practice which you are alleging against the defendant(s), such as: Refusal to hire, discharge from
employment harassment in
because of (state why defendant[s] discriminated against you, i.e., race, color, religion, sex, or
national origin, etc.)
5.
Plaintiff timely filed a written complaint of discrimination with the Equal Employment
Opportunity Commission and received a right-to-sue letter, a copy of which is attached. All
conditions precedent to the institution of this lawsuit have been fulfilled.
WHEREFORE, plaintiff prays for (state what relief is sought):
and such other relief as the court would allow
under Title VII of the Civil Rights Act of 1964.
Signature
Street Address
City
State
Zip Code
Telephone
:titlevii.int
3
American LegalNet, Inc.
www.FormsWorkflow.com
