Eeoc Form 167 PDF Details

Eeoc form 167 is a document that employers must complete and submit to the EEOC when they have at least 15 employees and have made an employment discrimination complaint. The form asks for detailed information about the allegations of discrimination, including the types of discrimination alleged, the dates and locations of the incidents, and the identities of any witnesses. Completing this form can be complicated, so it's important to understand what information is required and how to accurately complete it. In this blog post, we'll walk you through everything you need to know about eeoc form 167.

QuestionAnswer
Form NameEeoc Form 167
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names705g, RESPONDEN, form 167, VII

Form Preview Example

EQUAL EMPLOYMENT OPPORTUNITY COMMISSION

AGREEMENT OF NONDISCLOSURE

Pursuant to Section 705g(1) of Title VII, the EEOC shall have power to cooperate with private individuals in order to accomplish the purpose of Title VIl. This same authority also applies to actions under the Americans with Disabilities Act.

PERSON REQUESTING DISCLOSURE

 

 

 

 

 

AGGRIEVED PERSON ON

 

AGGRIEVED PERSON

 

NAMED PARTY IN CLASS

 

CHARGING PARTY

 

RESPONDENT

 

WHOSE BEHALF CHARGE

 

IN COMMISSIONER

 

 

 

 

 

 

ACTION

 

 

 

 

 

IS FILED

 

CHARGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ATTORNEY REPRESENTING

 

 

 

 

 

 

 

CP

RESPONDENT

AGGRIEVED PERSON ON WHOSE BEHALF CHARGE IS FILED

AGGRIEVED PERSON IN COMMISSIONER CHARGE

NAMED PARTY IN CLASS ACTION

CHARGE NUMBER(S) OF FILE(S) TO BE DISCLOSED

 

STATEMENT

I

 

, request disclosure of Commission case file(s) in

 

(Typed name)

connection with contemplated or pending litigation. I agree that the information disclosed to me will not be made

public or used except in the normal course of a civil action or other proceeding instituted under Title VII or the

Americans with Disabilities Act involving such information.

In witness whereof, this agreement is entered into as of the

 

day of

 

20

by the Equal Employment Opportunity Commission representative named below and the person requesting

disclosure.

Person requesting disclosure (Signature and telephone number/area code)

Complete address

EEOC representative (Signature and title)

EEOC FORM 167 (10/94)

American LegalNet, Inc. www.USCourtForms.com