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        "title": "COMPLAINT FOR EMPLOYMENT DISCRIMINATION",
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        "text": "COMPLAINT FOR EMPLOYMENT DISCRIMINATION",
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        "text": "I.\tThe Parties to This Complaint\n\tA.\tThe Plaintiff(s)\n\t\tProvide the information below for each plaintiff named in the complaint.  Attach additional pages if \t\tneeded.\n\t\t\tName\n\t\t\tStreet Address\n\t\t\tCity and County\n\t\t\tState and Zip Code\n\t\t\tTelephone Number\n\t\t\tE-mail Address",
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        "number": "B",
        "title": "The Defendant(s)",
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        "text": "\tB.\tThe Defendant(s)\n\t\tProvide the information below for each defendant named in the complaint, whether the defendant is an \t\tindividual, a government agency, an organization, or a corporation.  For an individual defendant, \t\t\tinclude the person’s job or title (if known).  Attach additional pages if needed.\n\t\tDefendant No. 1\n\t\t\tName\n\t\t\tJob or Title (if known)\n\t\t\tStreet Address\n\t\t\tCity and County\n\t\t\tState and Zip Code\n\t\t\tTelephone Number\n\t\t\tE-mail Address (if known)\n\t\tDefendant No. 2\n\t\t\tName\n\t\t\tJob or Title (if known)\n\t\t\tStreet Address\n\t\t\tCity and County\n\t\t\tState and Zip Code\n\t\t\tTelephone Number\n\t\t\tE-mail Address (if known)\n\t\tDefendant No. 3\n\t\t\tName\n\t\t\tJob or Title (if known)\n\t\t\tStreet Address\n\t\t\tCity and County\n\t\t\tState and Zip Code\n\t\t\tTelephone Number\n\t\t\tE-mail Address (if known)\n\t\tDefendant No. 4\n\t\t\tName\n\t\t\tJob or Title (if known)\n\t\t\tStreet Address\n\t\t\tCity and County\n\t\t\tState and Zip Code\n\t\t\tTelephone Number\n\t\t\tE-mail Address (if known)",
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        "index": 3,
        "number": "C",
        "title": "Place of Employment",
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        "text": "\tC.\tPlace of Employment\n\t\tThe address at which I sought employment or was employed by the defendant(s) is\n\t\t\tName\n\t\t\tStreet Address\n\t\t\tCity and County\n\t\t\tState and Zip Code\n\t\t\tTelephone Number",
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        "index": 4,
        "number": "II",
        "title": "Basis for Jurisdiction",
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        "text": "II.\tBasis for Jurisdiction\n\tThis action is brought for discrimination in employment pursuant to (check all that apply):\n\tTitle VII of the Civil Rights Act of 1964, as codified, 42 U.S.C. §§ 2000e to 2000e-17 (race,\n \tcolor, gender, religion, national origin).\n\t(Note:  In order to bring suit in federal district court under Title VII, you must first obtain a \tNotice of Right to Sue letter from the Equal Employment Opportunity Commission.)\n\tAge Discrimination in Employment Act of 1967, as codified, 29 U.S.C. §§ 621 to 634.\n\t(Note:  In order to bring suit in federal district court under the Age Discrimination in \t\tEmployment Act, you must first file a charge with the Equal Employment Opportunity \t\tCommission.)\n\tAmericans with Disabilities Act of 1990, as codified, 42 U.S.C. §§ 12112 to 12117.\n\t(Note:  In order to bring suit in federal district court under the Americans with Disabilities \tAct, you must first obtain a Notice of Right to Sue letter from the Equal Employment \t\tOpportunity Commission.)\n\tOther federal law (specify the federal law): \n\tRelevant state law (specify, if known): \n\tRelevant city or county law (specify, if known): ",
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      {
        "index": 5,
        "number": "III",
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        "level": 1,
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        "text": "III.\tStatement of Claim\n\tWrite a short and plain statement of the claim.  Do not make legal arguments.  State as briefly as possible the \tfacts showing that each plaintiff is entitled to the damages or other relief sought.  State how each defendant was \tinvolved and what each defendant did that caused the plaintiff harm or violated the plaintiff's rights, including \tthe dates and places of that involvement or conduct.  If more than one claim is asserted, number each claim and \twrite a short and plain statement of each claim in a separate paragraph.  Attach additional pages if needed.\n\tA.\tThe discriminatory conduct of which I complain in this action includes (check all that apply):\t\n\tFailure to hire me.\n\tTermination of my employment.\n\tFailure to promote me.\n\tFailure to accommodate my disability.\n\tUnequal terms and conditions of my employment.\n\tRetaliation.\n\tOther acts (specify):\n\t\t\t\t(Note:  Only those grounds raised in the charge filed with the Equal Employment \n\t\t\t\tOpportunity Commission can be considered by the federal district court under the\n \t\t\t\tfederal employment discrimination statutes.)\n\tB.\tIt is my best recollection that the alleged discriminatory acts occurred on date(s) \n\tC.\tI believe that defendant(s) (check one):\n\tis/are still committing these acts against me.\n\tis/are not still committing these acts against me.\n\tD.\tDefendant(s) discriminated against me based on my (check all that apply and explain):\n\trace\t\n\tcolor\t\n\tgender/sex\n\treligion\n\tnational origin\n\tage (year of birth) \n(only when asserting a claim of age discrimination.)\n\tdisability or perceived disability (specify disability)\n\tE.\tThe facts of my case are as follows.  Attach additional pages if needed.\n\t\t(Note:  As additional support for the facts of your claim, you may attach to this complaint a copy of \n\t\tyour charge filed with the Equal Employment Opportunity Commission, or the charge filed with the \n\t\trelevant state or city human rights division.)",
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        "index": 6,
        "number": "IV",
        "title": "Exhaustion of Federal Administrative Remedies",
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        "text": "IV.\tExhaustion of Federal Administrative Remedies\n\tA.\tIt is my best recollection that I filed a charge with the Equal Employment Opportunity Commission or \n\t\tmy Equal Employment Opportunity counselor regarding the defendant's alleged discriminatory conduct \n\t\ton (date)\n\tB.\tThe Equal Employment Opportunity Commission (check one):\n\thas not issued a Notice of Right to Sue letter.\n\tissued a Notice of Right to Sue letter, which I received on (date) \n.\n\t\t\t\t(Note:  Attach a copy of the Notice of Right to Sue letter from the Equal Employment \n\t\t\t\tOpportunity Commission to this complaint.)\n\tC.\tOnly litigants alleging age discrimination must answer this question.\n\t\tSince filing my charge of age discrimination with the Equal Employment Opportunity Commission \n\t\tregarding the defendant's alleged discriminatory conduct (check one):\n\t60 days or more have elapsed.\n\tless than 60 days have elapsed.",
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        "number": "V",
        "title": "Relief",
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        "text": "V.\tRelief\n\tState briefly and precisely what damages or other relief the plaintiff asks the court to order.  Do not make legal \n\targuments.  Include any basis for claiming that the wrongs alleged are continuing at the present time.  Include the\n \tamounts of any actual damages claimed for the acts alleged and the basis for these amounts.  Include any punitive\n \tor exemplary damages claimed, the amounts, and the reasons you claim you are entitled to actual or punitive \n\tmoney damages. ",
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        "text": "VI.\tCertification and Closing \n\tUnder Federal Rule of Civil Procedure 11, by signing below, I certify to the best of my knowledge, information, \n\tand belief that this complaint: (1) is not being presented for an improper purpose, such as to harass, cause \n\tunnecessary delay, or needlessly increase the cost of litigation; (2) is supported by existing law or by a \n\tnonfrivolous argument for extending, modifying, or reversing existing law; (3) the factual contentions have \tevidentiary support or, if specifically so identified, will likely have evidentiary support after a reasonable \n\topportunity for further investigation or discovery; and (4) the complaint otherwise complies with the \n\trequirements of Rule 11.\n\tA.\tFor Parties Without an Attorney\n\t\tI agree to provide the Clerk’s Office with any changes to my address where caserelated papers may be\n \t\tserved.  I understand that my failure to keep a current address on file with the Clerk’s Office may result \n\t\tin the dismissal of my case.\n\t\tDate of signing:\n\t\tSignature of Plaintiff\n\t\tPrinted Name of Plaintiff ",
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        "text": "\tB.\tFor Attorneys\n\t\tDate of signing:\n\t\tSignature of Attorney\n\t\tPrinted Name of Attorney\n\t\tBar Number\n\t\tName of Law Firm\n\t\tStreet Address\n\t\tState and Zip Code\n\t\tTelephone Number\n\t\tE-mail Address",
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