Immigrant and Employee Rights Section (IER)

IER CHARGE FORM

U.S. immigration law prohibits certain types of employment discrimination and retaliation, including: (1) citizenship status discrimination with respect to hiring, firing, or recruitment or referral for a fee of protected individuals; and (2) national origin discrimination (involving employers with four to fourteen employees) with respect to the hiring, firing, or recruitment or referral for a fee of all individuals who are lawfully authorized to work in the United States. The law also prohibits (3) unfair documentary practices: which occur when an individual, business, or organization refuses to accept a valid document, requests specific documentation or demands more or different documents than are required for completing the Form I-9 because of an individual’s citizenship status or national origin. The law also prohibits (4) retaliation against individuals for asserting their rights protected under the anti-discrimination provision of the immigration law, or for having participated or assisted in an investigation conducted by this office.

CHARGE FORM INSTRUCTIONS

Who can file a charge: Anyone who alleges he or she is a victim of discrimination or retaliation or an authorized person on behalf of the victim. This charge form must be mailed to the address below or faxed to (202) 616-5509 or e-mailed to IER@usdoj.gov within 180 days of the alleged date of discrimination.Please complete this form by typing or by legibly printing the information requested, in any language. If a question does not apply to you, leave it blank.

Questions concerning this charge form can be directed to IER by telephone at (202) 616-5594 or 1-800-255-7688 (toll free), TTY (202) 616-5525 or TTY 1-800-237-2515 (toll free).

OMB Number: 1190-0018
Revised date: 12/3/20