Instructions For Form J-098 - Client Discrimination Complaint Process printable pdf download

ARIZONA DEPARTMENT OF ECONOMIC SECURITY

J-098 (11-17)

Office of Equal Opportunity

CLIENT DISCRIMINATION COMPLAINT PROCESS

POLICY STATEMENT

The Department of Economic Security (DES) supports the policy of non-discrimination issued by the Governor of the

State of Arizona. DES commits itself and its contractors, sub-contractors, grantees, sub-grantees, vendors and suppliers, to

the concept of equality. The Office of Equal Opportunity (OEO), Department of Economic Security, in conjunction with

other divisional staff, is responsible for processing all charges of discrimination. The Director of the Department of

Economic Security has the ultimate responsibility for the Equal Opportunity Program.

OBJECTIVE

To maintain a policy of equal opportunity and to extend fair treatment to all in the delivery of services and in employment

practices, in conformity with Title VI of the 1964 Civil Rights Act as amended, the 1967 Age Discrimination in

Employment Act, Sections 501, 503, and 504 of the Rehabilitation Act of 1973 as amended, the Americans with

Disabilities Act (ADA) of 1990, and the Age Discrimination Act of 1975.

To assist applicants, recipients, and employees of the Department of Economic Security (DES) or its providers in

resolving charges of discrimination fairly and quickly.

DEFINITIONS

A. Complainant. A DES provider, applicant, or person who initiates a discrimination charge against a DES program or

its employee(s) or those of a provider.

B. Respondent. Any agency, organization, or individual receiving funds from DES as a sub-grantee or an employee

who is accused of discrimination in violation of the Federal and State laws of non-discrimination.

C. Provider. An agency or individual who has entered into an agreement or contractual arrangement with DES to

provide goods or services.

D. BASIS OF ALLEGED DISCRIMINATION:



RACE



COLOR



NATIONAL ORIGIN



RELIGION



SEX (Includes Pregnancy, Sexual Harassment)



INDIVIDUALS WITH DISABILITIES (Americans with Disabilities Act of 1990, as amended, Section 503

of the Rehabilitation Act of 1973, as amended)



DISABLED, RECENTLY SEPARATED, OTHER PROTECTED, AND ARMED FORCES SERVICE

MEDAL VETERANS (Vietnam Era Veterans Readjustment Assistance Act of 1974, as amended)



AGE (Age Discrimination in Employment Act of 1967, as amended), (Age Discrimination Act of 1975)



RETALIATION



GENETICS (Title II of the Genetic Information Nondiscrimination Act [GINA] of 2008)



SEX STEREOTYPE



GENDER IDENTITY

CHARGING PROCEDURE

A. The Complainant shall have 60 days from the date of the alleged discriminatory act to file a charge with the Office of

Equal Opportunity, P.O. Box 6123, Phoenix, Arizona, 85005, Mail Drop 1323. Telephone: (602) 364-3976.

B. The Office of Equal Opportunity will:

(1)

inform the Complainant of his/her right to file with the appropriate Federal enforcement agency. If the

Complainant files a charge through the DES procedure, he/she will be notified in writing that the charge has

been received. The Complainant will also be notified upon completion of the investigation.

(2)

advise the Assistant Director of the appropriate division of the charge(s).

(3)

coordinate the investigation with the appropriate divisional Affirmative Action/Equal Opportunity

coordinator, if there is one.

(4)

notify the Complainant of his/her right to file directly with the appropriate Federal agency, when a resolution

is not affected through the DES procedure.

(5)

advise the Respondent that no person shall be denied services, benefits, privileges or employment as a

consequence of a charge against DES, its providers, or their employees because he/she filed a charge of

discrimination or opposed an unfair employment practice.

See reverse for EOE/ADA/LEP/GINA disclosures

Instructions For Form J-098 - Client Discrimination Complaint Process

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