Business Law - No plagerism please

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Page 1 of 4 Employment Law

Equal Employment Opportunity Commission (EEOC) Claim Note: The following EEOC claim was filed by Emilio Garcia, a candidate you interviewed for a clerical position.

� Page 2 of 4 Employment Law

2 Equal Employment Opportunity Commission (EEOC) Claim

EEOC FORM 131 (11/09)

U.S Equal Employment Opportunity Commission

Compliance Officer, HR Department BETA TECHNOLOGY

PERSON FILING CHARGE Emilio Garcia

THIS PERSON (check one or both) Claims To Be Aggrieved Is Filing on Behalf of Other(s)

NOTICE OF CHARGE OF DISCRIMINATION (see the enclosed for additional information)

This is a notice that a charge of employment discrimination has been filed against your organization under:

Title VII of the Civil Rights Act (Title VII) The Equal Pay Act (EPA) The Americans with Disabilities ACT (ADA)

The Age Discrimination in Employment Act (ADEA) The Genetic Information Nondiscrimination Act (GINA) The boxes checked below apply to our handling of this charge:

1. No action is required by you at this time. 2. Please call the EEOC Representative listed below concerning the further handling of

this charge. 3. Please provide a statement of your position on the issues covered by this charge, with

copies of any supporting documentation to the EEOC Representative listed below. Your response will be placed in the file and considered as we investigate the charge. A prompt response to this request will make it easier to conclude our investigation.

4. Please respond fully to the enclosed request for information and send your response to the EEOC Representative listed below. Your response will be placed in the file and considered as we investigate the charge. A prompt response to this request will make it easier to conclude our investigation.

5. EEOC has a Mediation program that gives parties an opportunity to resolve the issues of a charge without extensive investigation or expenditure of resources. If you would like to participate, please respond within 30 days of receipt of this notice. If you DO NOT wish to try Mediation, you must respond to any request(s) made above by the dates specified there.

For further inquiry on this matter, please use the charge number shown above. Your position statement, your response to our request for information, or any inquiry you may have should be directed to: Norma Christiansen, Investigator

Centervale District Office

EEOC Representative Enclosure(s): Copy of Charge

CIRCUMSTANCES OF ALLEGED DISCRIMINATION

Race Color Sex Religion National Origin Age Disability Retaliation Genetic Information Other

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3 Equal Employment Opportunity Commission (EEOC) Claim See enclosed copy of charge of discrimination.

Name/Title of Authorized Official M.R. Rodriguez, District Director

Signature

CHARGE OF DISCRIMINATION This form is affected by the Privacy Act of 1974. See enclosed Privacy Act Statement and other information before completing this form.

Charge Presented To: FEPA EEOC

Agency(ies) Charge No(s): 551-2010-*0249

EEOC

Name (Indicate Mr., Ms., Mrs.) Home Phone (Incl. Area Code)

Date of Birth

Emilio Garcia (999) 555-2584 9/25/1983

Named is the Employer, Labor Organization, Employment Agency, Apprenticeship Committee, or State or Local Government Agency That I Believe Discriminated Against Me or Others. (If more than two, list under PARTICULARS below). Name No. Employees,

Members Phone No. (Include Area Code)

Beta Technology 15 - 100 (999) 555-9856

DISCRIMINATION BASED ON (Check appropriate box(es).)

Race Color Sex Religion National Origin Age Disability Retaliation Genetic Information Other

THE PARTICULARS ARE (If additional paper is needed, attach extra sheet(s)):

� Page 4 of 4 Employment Law

4 Equal Employment Opportunity Commission (EEOC) Claim I was interviewed for a clerical position. I was told by an employee of Beta Technology that I was the most qualified applicant and that my resume looked like a good match to the position. I was later notified that I would not be offered a position. I believe that I was not hired due to my race and gender. I did not see any Hispanic employees in the office and the interviewer mentioned that I would be working in a department where I would be the only male.

I want this charge filed with both the EEOC and the State or local Agency, if any. I will advise the agencies if I change my address or phone number and I will cooperate fully with them in the processing of my charge in accordance with their procedures.

I declare under penalty of perjury that the above is true and correct.

Charging Party Signature