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Complaint Title VII - Missouri
| Complaint Title VII Form. This is a Missouri form and can be used in Western District District Court Federal . |
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UNITED STATES DISTRICT COURT WESTERN DISTRICT OF MISSOURI ) Plaintiff ) ) vs. ) Case No. ) (1) ) ) ) (2) ) ) ) (3) ) Defendant(s) COMPLAINT TITLE VII Comes now plaintiff, and for his/her claim against the defendant(s) states and alleges as follows: 1. This action is brought and jurisdiction lies pursuant to 42 U.S.C. Section 2000e.5. Venue isproper in this district; 2. Plaintiff is a who resides at race sex street address city state zip 3. The defendant (1) is an employer, employment agency, or labororganization, as defined in 42 U.S.C. Section 2000e, and is located at Address 1 <<<<<<<<<********>>>>>>>>>>>>> 2NOTE: USE THIS PAGE ONLY IF THERE IS MORE THAN ONE DEFENDANT 3a. The defendant (2) is an employer, employment agency, or labor organization, as defined in 42 U.S.C. Section 2000e, and is located at Address 3b. The defendant (3) is an employer, employment agency, or labor organization, as defined in 42 U.S.C. Section 2000e, and is located at Address 3c. The defendant (4) is an employer, employment agency, or labor organization, as defined in 42 U.S.C. Section 2000e, and is located at Address 3d. The defendant (5) is an employer, employment agency, or labor organization, as defined in 42 U.S.C. Section 2000e, and is located at Address 3e. The defendant (6) is an employer, employment agency, or labor organization, as defined in 42 U.S.C. Section 2000e, and is located at Address 2<<<<<<<<<********>>>>>>>>>>>>> 3 4. On or about , 19 , defendant(s) (Specify the unlawful employment, practice which you are alleging against the defendant(s), such as: Ref usal to hire, discharge from employment harassment in because of (state why defendant[s] discriminated against you, i.e., race, colo r, religion, sex, or national origin, etc.) 5. Plaintiff timely filed a written complaint of discrimination with the Equal Employment Opportunity Commission and received a right-to-sue letter, a copy of which is attac hed. All conditions precedent to the institution of this lawsuit have been fulfil led. WHEREFORE , plaintiff prays for (state what relief is sought): and such other relief as the court would allow under Title VII of the Civil Rights Act of 1964. Signature Street Address City State Zip Code Telephone 3
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