EEO Complaint Form

Equal Employment Opportunity (EEO) Complaint Form 

County of Sonoma - Equal Employment Opportunity Unit

575 Administration Drive #116B, Santa Rosa, CA 95403

(707)565-3047

A PDF version of the Form Available to download and complete here in place of this e-form. More information about Equal Employment Opportunity (EEO) / Americans with Disabilities Act (ADA) Public Access Division can be found on our website here.

DISCLOSURE: The County of Sonoma takes all allegations seriously and has a compelling interest in protecting the integrity of its investigations. As such, any information stated in this form could be disclosed to those who have a legitimate need to know, and in compliance with applicable federal, state, and local laws.

Complainant's Information

Preferred Contact Method

Individual(s) responsible for alleged harassment / discriminatory /retaliatory actions

You may add up to 3 individuals
Relationship

Relationship

Relationship

DISCLOSURE: The County of Sonoma takes all allegations seriously and has a compelling interest in protecting the integrity of its investigations. As such, any information stated in this form could be disclosed to those who have a legitimate need to know, and in compliance with applicable federal, state, and local laws.

Allegation Details

Did you report the alleged conduct to anyone else?
How did you report the alleged conduct?
Have you filed a complaint with a state/federal agency?
Please select who it was filed with

Has the alleged or a similar conduct happened before?
Did you report the previous / similar conduct?

DISCLOSURE: The County of Sonoma takes all allegations seriously and has a compelling interest in protecting the integrity of its investigations. As such, any information stated in this form could be disclosed to those who have a legitimate need to know, and in compliance with applicable federal, state, and local laws.

Please list any witnesses whom you feel may have information regarding this complaint

You may include up to 4 witnesses information

Remedy/Resolution

DISCLOSURE: The County of Sonoma takes all allegations seriously and has a compelling interest in protecting the integrity of its investigations. As such, any information stated in this form could be disclosed to those who have a legitimate need to know, and in compliance with applicable federal, state, and local laws.