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COMPLAINT OF DISCRIMINATION

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EEOC Complaint No.

CCRD Complaint No.

COLORADO CIVIL RIGHTS DIVISION AND EEOC

Name (Complainant)

(Area Code) Telephone

Jane Smith

(303) 555-5555

Street Address

City, State, and Zip Code

County

1234 Colorado Street

Denver, CO 80202

Denver

The Employer, Labor Organization, Employment Agency, Apprenticeship Committee, State or

Local Government Agency who discriminated against me is:

Name (Respondent)

Number of Employees

(Area Code) Telephone

The Widget Corporation

d/b/a Widgets Worldwide

15+

(720) 555-5555

Email Address

[email protected]

Street Address

City, State, and Zip Code

County

5678 Colorado Street

Denver, CO 80202

Denver

Discrimination Based on:

Date Most Recent Discrimination Occurred:

Sex (Female); Race/Color (African-

American/Black); Retaliation

July 9, 2020

I. Jurisdiction: The Colorado Civil Rights Division and Equal Employment Opportunity

Commission have jurisdiction over the subject matter of this charge and the named

Respondent, pursuant to the provisions of the Colorado Revised Statutes (C.R.S. 1973, 24-

34-301, et seq.), as reenacted, and Title VII of the Civil Rights Act of 1964 (42 U.S.C.

2000e, et seq.), as amended.

II. Personal Harm: On or about July 9, 2020, and prior, I was harassed by my supervisor

based on my sex (female) and/or race/color (African-American/black). On or about July

9, 2020, I was discharged based on my protected classes and/or in retaliation for engaging

in protected activity.

III. Respondent’s Position: Unknown.

IV. Discrimination Statement: I believe I was unlawfully discriminated against because: of

my protected classes and/or in retaliation for engaging in protected activity in violation

of the Colorado Anti-Discrimination Act (CADA). 1.) I began employment with the

Respondent on or about April 10, 2010, performed my job duties satisfactorily at all times,

and my most recent job title was Widget Designer. 2.) On or about April 30, 2020, I was

harassed based on my protected classes when my Supervisor, Brian Badboss (“Badboss”),

made degrading comments about women and people of color during a work meeting. 3.)

On or about July 9, 2020, I was again harassed when Badboss yelled racist and sexist slurs

at me after I failed to timely submit my TPS reports. 4.) I promptly engaged in protected

activity by objecting to Badboss’s discriminatory mistreatment and reported such to the

Respondent’s Human Resources Department. 5.) On or about July 9, 2020, I was

discharged. 6.) I believe that I was discriminated against based on my protected classes

and/or in retaliation for engaging in protected activity.

V. WHEREFORE: The Complainant prays that the Colorado Civil Rights Division grant such

relief as may exist within the Division’s power and which the Division may deem necessary

and proper.