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4. If this is a Retaliation complaint, what act of discrimination did you oppose and when; have you participated in
any grievances, complaints or hearings involving discrimination; what evidence will show a connection between
your opposition and the treatment you received
5. If this is a complaint based on your religion, how was your employer made aware of your religion; did you
request any special accommodation for your religion Explain.
6. Please provide the name(s), telephone number and a description of the information that can be provided by
any witness you think can provide evidence in support of your charge.
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source: cityofnewhaven.com
Free Employee Complaint Form Pdf