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 ±¹Á¦¹ý ¿¬±¸ÀÚ·á - ¹Ì±¹¹Î»ç¼Ò¼Û 26. Complaint for Employment Discrimination
ÀÛ¼ºÀÚ  °ü¸®ÀÚ ÀÛ¼ºÀÏ   2022-06-01 07:47:58
ȨÆäÀÌÁö   ÷ºÎÆÄÀÏ   Ã·ºÎÆÄÀÏ ¾øÀ½
- Written by Salomone Donghwa Shin / International Legal Research Institute. www.ilri.co.kr



Complaint for Employment Discrimination

Form Number: Pro Se 7

Category: Civil Pro Se Forms

Effective onDecember 1, 2016


2022³â 6¿ù 1ÀÏ ÇöÀç ¹Ì±¹ ¹ý¿ø¿¡¼­ »ç¿ëÁßÀÎ ¹Î»ç¼Ò¼Û Complaint for Employment Discrimination ¼­½ÄÀÔ´Ï´Ù.

    °í¿ëÂ÷º°¼Ò¼Û Complaint for Employment Discrimination Àº ÀÎÁ¾, ÇǺλö, ¼ºº°, Á¾±³, Ãâ½Å±¹Àû, ¿¬·É, Àå¾Ö ¶Ç´Â À¯Àü Á¤º¸ °°Àº º¸È£¸¦ ¹ÞÀ» »çÇ׿¡ Â÷º°À» ´çÇß´Ù°í, Á÷Àå³»¿¡¼­ in the workplace Â÷º°Àû°üÇàÀ»ÁÖÀåÇÏ´Â alleging discriminatory practices °í¿ëÁÖ ¶Ç´Â Á¶Á÷¿¡ ¼Ò¼ÛÀ»Á¦±âÇÏ´Â initiates a lawsuit ¹ýÀû¹®¼­ a legal document ÀÔ´Ï´Ù.
    ±× ¼ÒÀå¿¡ ÀÛ¼ºÇÏ´Â ³»¿ëÀº ´ÙÀ½°ú °°½À´Ï´Ù.
    1. Ç¥Á¦ Caption: ¿ø°í the plaintiff ¿Í ÇÇ°í  the defendant ÀÇ À̸§°ú Á¢¼ö¹ý¿ø the court where the complaint is filed.
    2. ¼­·Ð Introduction: ¿ø°í¿Í ÇÇ°í ½Äº°, ¼Ò¼Û±Ù°Å the basis of the lawsuit(°í¿ëÂ÷º° employment discrimination), »ç°Ç°³¿ä a brief overview of the case.
    3. °üÇÒ±Ç Jurisdiction ¹× ÀçÆÇÁö¿ª Venue : ÀÌ ¹ý¿øÀÌ »ç°Ç°üÇÒÀÎÀÌÀ¯ explains why the court has jurisdiction over the case, ±×¸®°í »ç°Ç½É¸®¿¡ÀûÇÕÇÑÀçÆÇÁö¿ªÀÎÀÌÀ¯ why the particular court is the appropriate venue to hear the case.
        - ÇÇ°í°¡ÀÌÁÖ¿¡°ÅÁÖÇÏ°í Defendant is a resident of this state Â÷º°ÇàÀ§°¡ÀÌÁÖ¿¡¼­¹ß»ý the alleged discriminatory acts occurred in this state Ç߱⠶§¹®¿¡ ÀçÆÇÁö¿ªÀºÀ̹ý¿øÀÌÀûÀýÇÔ Venue is proper in this Court.
        - ºÐÀï±Ý¾×ÀÌ$.....¸¦ÃÊ°ú the amount in controversy exceeds $..... Çϱ⠶§¹®¿¡ À̹ý¿øÀÇ°üÇÒ±ÇÀÌÀûÀýÇÔ Jurisdiction is proper in this Court.
    4. ´ç»çÀÚ Parties ¹× ¹è°æ Background: ¿ø°í¿Í ÇÇ°íÀÇ À̸§, ÁÖ¼Ò, °í¿ë°ü°è employment relationship, »óÈ£ÀÛ¿ë interactions ¿¡ ´ëÇÑ ¿ä¾à a summary À» Æ÷ÇÔÇÑ ´õÀÚ¼¼ÇÑÁ¤º¸Á¦°ø provides more detailed information.
        - ¿ø°í´Â ¹Ì±¹½Ã¹ÎÀ̸çÀÌÁÖÀÇ°ÅÁÖÀÚÀÓ a citizen of the United States and a resident of this state.
        - ÇÇ°í´Â ÀÌÁÖÀǹý·ü¿¡µû¶óÁ¶Á÷µÇ°íÁ¸ÀçÇϴ¹ýÀÎ a corporation organized and existing under the laws of this state À̸鼭 ¿©±â¿¡¾ð±ÞµÈ¸ðµç½Ã°£µ¿¾ÈÇÇ°í´ÂÀÌÁÖ¿¡¼­»ç¾÷À»¿µÀ§ÇÔ at all times mentioned herein, Defendant has been engaged in business in this state.
        - ÇØ´ç½Ã±â¿¡, ¿ø°í´ÂÇÇ°íÀǻ繫½Ç¿¡°í¿ëµÇ¾ú°í Plaintiff was hired by Defendant at Defendant's office, ÇØ´çÁ÷Ã¥¿¡´ëÇÑÀÚ°ÝÀ»°®Ãß°í¸¸Á·½º·¯¿î¹æ½ÄÀ¸·ÎÁ÷¹«¸¦¼öÇàÇÔ Plaintiff was qualified for the position and performed his duties in a satisfactory manner.
    5. ÁÖÀå³»¿ë Allegations: °í¿ëÂ÷º°¿¡´ëÇѱ¸Ã¼ÀûÀÎÁÖÀå¼³¸í sets forth the specific allegations of employment discrimination, Â÷º°ÁÖÀ庻Áú¿¡µû¶ó depending on the nature of the discrimination claim unequal treatment, ±«·ÓÈû harassment, º¸º¹ retaliation ¶Ç´Â ÇÕ¸®ÀûÀÎÆíÀÇÁ¦°ø½ÇÆÐ failure to provide reasonable accommodations °°Àº Â÷º°ÀûÇൿ¼¼ºÎÁ¤º¸ details about the discriminatory actions.
        - [¿¬¿ùÀÏ]¿¡ ¿ø°í´ÂÇÇ°í¿¡ÀÇÇØÇØ°íµÇ¾úÀ½ Plaintiff was terminated from his employment by Defendant.
        - ¿ø°íÀÇ ÇØ°íµ¿±â´Â termination was motivated by ¿ø°íÀÇ [º¸È£´ë»óƯ¼º protected characteristic] ¿¡ ±Ù°ÅÇÑ on the basis of Â÷º°ÀûÀû´ë°¨ discriminatory animus À̾úÀ½.
    6. ¹ýÀûû±¸ Legal Claims: ÀαǹýÁ¦7Á¶ Title VII of the Civil Rights Act, ¹Ì±¹Àå¾ÖÀιý the Americans with Disabilities Act(ADA), °í¿ë¹ý³»³ªÀÌÂ÷º°±ÝÁö the Age Discrimination in Employment Act(ADEA) µîÀ» Àοë.
        - ÇÇ°íÀÇÂ÷º°ÀûÀÎÇàÀ§ÀÇ°á°ú·Î As a result of Defendant's discriminatory conduct ¿ø°í´Â ÀÓ±Ý¼Õ½Ç lost wages, Á¤¼­Àû°íÅë emotional distress, ±¼¿å humiliation À» Æ÷ÇÔÇϵÇÀÌ¿¡±¹ÇѵÇÁö¾Ê´Â including but not limited to ¼ÕÇظ¦ ÀÔ¾úÀ½ has suffered damages.
    7. ±¸Á¦¿äû Prayer for Relief: ¿ø°í°¡Ãß±¸Çϴ±¸Ã¼ÀûÀα¸Á¦Ã¥¶Ç´Âº¸»óÀ»±âÀç outlines the specific remedies or compensation sought by the plaintiff.  (±ÝÀüÀû¼ÕÇعè»ó monetary damages, º¹Á÷ reinstatement, ±ÝÁö¸í·É±¸Á¦ injunctive relief (¿¹: ÇÇ°í¿¡°ÔÂ÷º°Àû°üÇàÀ»º¯°æÇϵµ·Ï¸í·É ordering the defendant to change its discriminatory practices), º¯È£»çºñ¿ë ttorney's fees, ±âŸÀûÀýÇѱ¸Á¦ any other appropriate relief.)
    8. ¸¶¹«¸® Conclusion: ¹ý¿øÀÌ¿ø°í¿¡°ÔÀ¯¸®ÇÑÆÇ°áÀ»³»¸®°í the court issue a judgment in favor of the plaintiff, Á¤´çÇÏ°íÀûÀýÇÏ´Ù°íÆǴܵǴ±âŸ±¸Á¦Á¶Ä¡ any other relief deemed just and proper ¸¦ ³»·ÁÁÙ °ÍÀ» ¿äûÇϸ鼭 with a statement requesting ¸¶¹«¸®.





    ´ÙÀ½Àº ¹Ì±¹ ´ë¹ý¿øÀÇ °í¿ëÂ÷º° Complaint for Employment Discrimination °ü·Ã ÆÇ·ÊÀÔ´Ï´Ù.
    1. Brown v. Board of Education (1954): °ø¸³ Çб³¿¡¼­ÀÇ ÀÎÁ¾ ºÐ¸®¸¦ ´Ù·é ÀÌ »ç°ÇÀº "ºÐ¸®µÇ¾úÁö¸¸ ÆòµîÇÏ´Ù"´Â ±³À° ½Ã¼³Àº º»ÁúÀûÀ¸·Î ÆòµîÇÏÁö ¾ÊÀ¸¸ç, µû¶ó¼­ ¹Ì±¹ Çå¹ý Á¦14Á¶ÀÇ Æòµî º¸È£Á¶Ç×À» À§¹ÝÇÑ´Ù°í ÆÇ°áÇÔ.
    2. McDonnell Douglas Corp. v. Green (1973): ¹Ì±¹Àº 1964³â Àαǹý Title VII ·Î °í¿ëÂ÷º°ÁÖÀåÀ» ºÐ¼®ÇÒ ±âƲÀ» ¸¶·ÃÇß´Ù. ´ë¹ý¿øÀº ¿ø°í°¡  º¸È£¹Þ´Â Áý´ÜÀÇ ±¸¼º¿øÀÌ°í, Á÷¹«¸¦ ¼öÇà¿¡ Àû°ÝÇØ Á÷¾÷¿¡ ÀÚ°ÝÀÌ ÀÖ°í, ºÒ¸®ÇÑ °í¿ë Á¶Ä¡¸¦ ¹Þ¾Ò°í, ¿ÜºÎ¿¡¼­ ºñ½ÁÇÑ »óȲÀÇ º¸È£¹ÞÁö ¾Ê´Â Áý´ÜÀÇ °³Àε麸´Ù ºÒ¸®ÇÏ°Ô ´ë¿ì¸¦ ¹Þ¾Ò´Ù´Â °ÍÀ¸·Î Â÷º°À» ÀÔÁõÇÒ ¼ö ÀÖ´Ù°í ÆÇ°áÇÔ.
    3. Griggs v. Duke Power Co. (1971): °í¿ëÁÖÀÎ Duke Power »ç°¡ °í¿ëÀ» Á¶°ÇÀ¸·Î °íµîÇб³ Á¹¾÷Àå°ú µÎ °¡Áö ´É·Â °Ë»ç¸¦ ¿ä±¸ÇÏ´Â °í¿ë °üÇàÀÌ ¾ÆÇÁ¸®Ä«°è ¹Ì±¹ÀÎ Á÷¿ø ¹× Áö¿øÀڵ鿡°Ô °£Á¢ÀûÀÎ ¿µÇâÀ» ¹ÌÄ¡´Â °ÍÀ¸·Î ³ªÅ¸³ª ´ë¹ý¿øÀº ÀÌ·¯ÇÑ ¿ä±¸»çÇ×ÀÌ Á÷¹«¿Í °ü·ÃÀÌ ÀÖÀ¸¸ç, ºñÁî´Ï½º Çʿ伺¿¡ ºÎÇÕÇÏ´Â °æ¿ì¸¦ Á¦¿ÜÇÏ°í´Â Â÷º°À̶ó°í ÆÇ°áÇÔ.
    4. Price Waterhouse v. Hopkins(1989): ¿©¼º Á÷¿øÀÌ ¼ºº° °íÁ¤°ü³ä ¶§¹®¿¡ ÁÖ¿ä ȸ°è¹ýÀο¡¼­ ÆÄÆ®³Ê½ÊÀ» °ÅºÎ´çÇÑ »ç°ÇÀ¸·Î  ´ë¹ý¿øÀº ´Ù¸¥ ¿ä¼Ò¸¦ °í·ÁÇÏ´õ¶óµµ ¼ºº°ÀÌ °í¿ë °áÁ¤¿¡ ¿ªÇÒÀ» ÇÏ´Â °æ¿ì °í¿ëÁÖ°¡ Â÷º°¿¡ ´ëÇØ Ã¥ÀÓÀ» Á®¾ß ÇÑ´Ù°í ÆÇ°áÇÔ.
    5. Ledbetter v. Goodyear Tire & Rubber Co. (2007): Àαǹý Title VII¿¡ ÀÇ°ÅÇÑ ¼ºº°¿¡ µû¸¥ ±Þ¿© Â÷º° ÁÖÀå¿¡ ´ë¹ý¿øÀº ¿ø°íÀÇ ÁÖÀåÀÌ ±Þ¿© Â÷º°ÀÌ ±×³àÀÇ ÀçÁ÷±â°£ µ¿¾È °è¼ÓÇؼ­ ±Þ¿©¿¡ ¿µÇâÀ» ¹ÌÃÆÀ½¿¡µµ ºÒ±¸ÇÏ°í Â÷º°Àû ±Þ¿© °áÁ¤ÀÌ ½ÃÀÛµÈ ÈÄ 180ÀÏ À̳»¿¡ EEOC¿¡ Â÷º° ÇøÀÇ¿¡ ´ëÇØ ÀÌÀǸ¦ Á¦±âÇÏÁö ¾Ê¾Ò±â ¶§¹®¿¡ ±âÇÑÀÌ Áö³­ °ÍÀ̶ó°í ÆÇ°áÇÔ.
    6. Wal-Mart Stores, Inc. v. Dukes(2011): ¼ö½Ê¸¸ ¸íÀÇ ¿©¼º Á÷¿ø¿¡°Ô ¿µÇâÀ» ¹ÌÄ¡´Â ¿ù¸¶Æ®ÀÇ ÀÓ±Ý ¹× ½ÂÁø °áÁ¤ÀÇ Â÷º°Àû °üÇà¿¡ ´ë¹ý¿øÀº ¿ø°í°¡ ¿¬¹æ ¹Î»ç ¼Ò¼Û ±ÔÄ¢ 23 ¿¡ µû¶ó ´Üü ÀÎÁõ¿¡ ÇÊ¿äÇÑ °øÅ뼺À» È®¸³ÇÏÁö ¸øÇ߱⠶§¹®¿¡ ´Üü·Î ÁøÇàÇÒ ¼ö ¾ø´Ù°í ÆÇ°áÇÔ.




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¼Ò¼ÛÀÌ ÇÊ¿äÇÑ ±¹°¡ÀÇ ÇöÁö º¯È£»ç¿Í »ó´ãÀ̳ª ¹ø¿ª°ú Å뿪À» ¿øÇϽøé À̸ÞÀÏ info@ilri.co.kr ·Î ¹®ÀÇÇØ Áֽñ⠹ٶø´Ï´Ù.





Pro Se 7 (Rev. 12/16) Complaint for Employment Discrimination


UNITED STATES DISTRICT COURT
for the
__________ District of __________
__________ Division


                                                                          Case No.(to be filled in by the Clerk¡¯s Office)
Plaintiff(s)
(Write the full name of each plaintiff who is filing this complaint.
If the names of all the plaintiffs cannot fit in the space above,
please write ¡°see attached¡± in the space and attach an additional
page with the full list of names.)

-v-                                                                      Jury Trial: (check one) ¡¯ Yes ¡¯ No

Defendant(s)
(Write the full name of each defendant who is being sued. If the
names of all the defendants cannot fit in the space above, please
write ¡°see attached¡± in the space and attach an additional page
with the full list of names.)


COMPLAINT FOR EMPLOYMENT DISCRIMINATION

I. The Parties to This Complaint

  A. The Plaintiff(s)

  Provide the information below for each plaintiff named in the complaint. Attach additional pages if
needed.
Name
Street Address
City and County
State and Zip Code
Telephone Number
E-mail Address

  B. The Defendant(s)

Provide the information below for each defendant named in the complaint, whether the defendant is an individual, a government agency, an organization, or a corporation. For an individual defendant,
include the person¡¯s job or title (if known). Attach additional pages if needed.

                                                                                                          Page 1 of 6

Defendant No. 1
Name
Job or Title (if known)
Street Address
City and County
State and Zip Code
Telephone Number
E-mail Address (if known)
Defendant No. 2
Defendant No. 3
Defendant No. 4

                                                                                                        Page 2 of 6

  C. Place of Employment

The address at which I sought employment or was employed by the defendant(s) is
Name
Street Address
City and County
State and Zip Code
Telephone Number


II. Basis for Jurisdiction

This action is brought for discrimination in employment pursuant to (check all that apply):

  ¤± Title VII of the Civil Rights Act of 1964, as codified, 42 U.S.C. ¡×¡× 2000e to 2000e-17 (race,
color, gender, religion, national origin).
(Note: In order to bring suit in federal district court under Title VII, you must first obtain a
Notice of Right to Sue letter from the Equal Employment Opportunity Commission.)

  ¤± Age Discrimination in Employment Act of 1967, as codified, 29 U.S.C. ¡×¡× 621 to 634.
(Note: In order to bring suit in federal district court under the Age Discrimination in
Employment Act, you must first file a charge with the Equal Employment Opportunity
Commission.)

  ¤± Americans with Disabilities Act of 1990, as codified, 42 U.S.C. ¡×¡× 12112 to 12117.
(Note: In order to bring suit in federal district court under the Americans with Disabilities
Act, you must first obtain a Notice of Right to Sue letter from the Equal Employment
Opportunity Commission.)

  ¤± Other federal law (specify the federal law):

  ¤± Relevant state law (specify, if known):

  ¤± Relevant city or county law (specify, if known):

                                                                                                          Page 3 of 6

III. Statement of Claim

Write a short and plain statement of the claim. Do not make legal arguments. State as briefly as possible the facts showing that each plaintiff is entitled to the damages or other relief sought. State how each defendant was involved and what each defendant did that caused the plaintiff harm or violated the plaintiff's rights, including the dates and places of that involvement or conduct. If more than one claim is asserted, number each claim and write a short and plain statement of each claim in a separate paragraph. Attach additional pages if needed.

  A. The discriminatory conduct of which I complain in this action includes (check all that apply):
      ¤± Failure to hire me.
      ¤± Termination of my employment.
      ¤± Failure to promote me.
      ¤± Failure to accommodate my disability.
      ¤± Unequal terms and conditions of my employment.
      ¤± Retaliation.
      ¤± Other acts (specify):
          (Note: Only those grounds raised in the charge filed with the Equal Employment
          Opportunity Commission can be considered by the federal district court under the
          federal employment discrimination statutes.)

  B. It is my best recollection that the alleged discriminatory acts occurred on date(s)

  C. I believe that defendant(s) (check one):
      ¤± is/are still committing these acts against me.
      ¤± is/are not still committing these acts against me.

  D. Defendant(s) discriminated against me based on my (check all that apply and explain):
      ¤± race
      ¤± color
      ¤± gender/sex
      ¤± religion
      ¤± national origin
      ¤± age (year of birth) (only when asserting a claim of age discrimination.)
      ¤± disability or perceived disability (specify disability)

E. The facts of my case are as follows. Attach additional pages if needed.

                                                                                                          Page 4 of 6

(Note: As additional support for the facts of your claim, you may attach to this complaint a copy of
your charge filed with the Equal Employment Opportunity Commission, or the charge filed with the
relevant state or city human rights division.)


IV. Exhaustion of Federal Administrative Remedies

    A. It is my best recollection that I filed a charge with the Equal Employment Opportunity Commission or my Equal Employment Opportunity counselor regarding the defendant's alleged discriminatory conduct on (date)

    B. The Equal Employment Opportunity Commission (check one):
      ¤± has not issued a Notice of Right to Sue letter.
      ¤± issued a Notice of Right to Sue letter, which I received on (date) .
          (Note: Attach a copy of the Notice of Right to Sue letter from the Equal Employment
          Opportunity Commission to this complaint.)

    C. Only litigants alleging age discrimination must answer this question.
        Since filing my charge of age discrimination with the Equal Employment Opportunity Commission regarding the defendant's alleged discriminatory conduct (check one):
      ¤± 60 days or more have elapsed.
      ¤± less than 60 days have elapsed.


V. Relief

State briefly and precisely what damages or other relief the plaintiff asks the court to order. Do not make legal arguments. Include any basis for claiming that the wrongs alleged are continuing at the present time. Include the amounts of any actual damages claimed for the acts alleged and the basis for these amounts. Include any punitive or exemplary damages claimed, the amounts, and the reasons you claim you are entitled to actual or punitive money damages.

                                                                                                          Page 5 of 6

VI. Certification and Closing

Under Federal Rule of Civil Procedure 11, by signing below, I certify to the best of my knowledge, information, and belief that this complaint: (1) is not being presented for an improper purpose, such as to harass, cause unnecessary delay, or needlessly increase the cost of litigation; (2) is supported by existing law or by a nonfrivolous argument for extending, modifying, or reversing existing law; (3) the factual contentions have evidentiary support or, if specifically so identified, will likely have evidentiary support after a reasonable opportunity for further investigation or discovery; and (4) the complaint otherwise complies with the requirements of Rule 11.

A. For Parties Without an Attorney

I agree to provide the Clerk¡¯s Office with any changes to my address where case–related papers may be served. I understand that my failure to keep a current address on file with the Clerk¡¯s Office may result in the dismissal of my case.
Date of signing:

Signature of Plaintiff
Printed Name of Plaintiff

B. For Attorneys

Date of signing:

Signature of Attorney
Printed Name of Attorney
Bar Number
Name of Law Firm
Street Address
State and Zip Code
Telephone Number
E-mail Address

                                                                                                          Page 6 of 6










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