How to Fill Out EEOC Form 154

EEOC Form 154 at a glance

What it is: Request for Withdrawal of Charge of Discrimination, Equal Employment Opportunity Commission.

Where and when to file: Furnish the information and return the form. As a request for withdrawal of charge is subject to the approval of the Commission, your request will be considered and acted upon when received by the office. At this time the Commission is still prepared to proceed with your case if you so desire.

A filled-in EEOC Form 154 example: a person asks to withdraw a charge

EEOC Form 154 example filled out, example: a person asks to withdraw a charge
Maria Sample asks the EEOC to withdraw her charge of discrimination. She gives charge number 000-2026-00000 and writes why on the first comment line. The picture shows page 1, and its names and figures are sample values. Nothing goes in For EEOC use only because the form marks it FOR EEOC USE ONLY.

How to fill out EEOC Form 154, box by box

Charge number and date

EEOC Form 154 example filled out, charge number and date

Enter the CHARGE NUMBER and the DATE.

Aggrieved party and respondent(s)

EEOC Form 154 example filled out, aggrieved party and respondent(s)

Enter the AGGRIEVED PARTY and the RESPONDENT(S).

I request the withdrawal of my charge because

EEOC Form 154 example filled out, i request the withdrawal of my charge because

Complete the information for the AGGRIEVED PARTY (continue on reverse if necessary).

After "I request the withdrawal of my charge because:", write why you request the withdrawal on the lines.

The form states that you are aware that the Federal Government protects your right to file a charge, and that you have not been coerced into requesting this withdrawal.

Signature and date

EEOC Form 154 example filled out, signature and date

Sign on the SIGNATURE line and enter the DATE.

For EEOC use only

EEOC Form 154 example filled out, for EEOC use only

FOR EEOC USE ONLY: Withdrawal with Settlement, Withdrawal without Settlement, Approve, Disapprove, DATE and APPROVING OFFICIAL.

Sources

[1] EEOC Form 154 (10/94), Request for Withdrawal of Charge of Discrimination, Equal Employment Opportunity Commission (the Official source link on this page).

EEOC Form 154 PDF Details

Engaging with the intricacies of workplace rights and the processes involved in safeguarding these rights is crucial for any individual navigating the employment sector. The Equal Employment Opportunity Commission (EEOC) plays a pivotal role in this domain, offering a structured pathway for individuals who feel they have been subjected to discrimination to voice their concerns. Among the various documents and forms the EEOC employs, the EEOC 154 form stands out for its specific purpose. This form, officially titled "Request for Withdrawal of Charge of Discrimination," serves as a critical tool for individuals who, after lodging a complaint of discrimination against their employer, decide to retract their charge for one reason or another. This decision comes with its own set of considerations and consequences, and the form facilitates this process by requiring detailed information from the complainant. Additionally, it makes it clear that withdrawing a charge doesn't preclude the commission's readiness to proceed with the case should the individual change their mind. Importantly, the form also reinforces the individual's rights against retaliation for having filed a charge in the first place, emphasizing the legal protections in place to shield them from any adverse actions. As a gateway to potentially concluding a discrimination claim, the significance of the EEOC 154 form in the broader spectrum of employment rights and responsibilities cannot be overstated.

QuestionAnswer
Form Name EEOC Form 154
Form Length 1 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 15 sec
Other names eeoc request for withdrawl, eeoc request for withdrawal form, eeoc withdrawal of charge form, eeoc form 154

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