EEOC Discrimination Complaint letter template

Template preview

[DATE]

[RECIPIENT NAME]
[RECIPIENT ADDRESS]

Re: Notice of Discrimination Complaint — [USER FULL NAME]

To Whom It May Concern:

This letter serves as formal notice that I have experienced discrimination based on [PROTECTED CLASS] in the course of my employment, occurring on or around [INCIDENT DATES].

Facts:
[FACTS]

Requested resolution:
[DESIRED OUTCOME]

This conduct may violate Title VII of the Civil Rights Act (42 U.S.C. § 2000e et seq.), the ADA, the ADEA, and/or applicable state fair employment statutes. I request that you investigate this matter promptly, take corrective action, and preserve all related records and communications. I intend to file a charge with the EEOC or my state fair employment agency if this matter is not resolved.

Please respond within fourteen (14) days.

Sincerely,

[USER FULL NAME]
[USER ADDRESS]

Bracketed fields are filled in automatically from your answers, then rewritten by AI into a professional letter in your own voice.

What you'll need

• • Recipient
• • Recipient address
• • Your name
• • Your address
• • Protected class
• • Incident dates
• • Facts
• • Desired outcome