Instructions For Form Wia-1010aforpd - Wia Equal Opportunity And Discrimination Complaint Policy

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WIA-1010AFORPD (7-12)
ARIZONA DEPARTMENT OF ECONOMIC SECURITY
Employment Administration • Workforce Investment Act (WIA)
WIA EQUAL OPPORTUNITY & DISCRIMINATION COMPLAINT POLICY
WHO MAY FILE
Any person, either by him/herself or through a representative, who believes that either he/she, or any specific class of
individuals has been or is being subjected to discrimination prohibited by the nondiscrimination and equal opportunity
provisions of the Workforce Investment Act (WIA), may file a written complaint. The discrimination may be on the basis of:
color, religion, sex, national origin, age, disability, political affiliation or belief and against beneficiaries on the basis of
citizenship/immigrant status to work in the United States, or participation in programs funded under WIA, or in connection with
any WIA funded program or activity. Complaints may also be filed on the basis of alleged intimidation and retaliation in
accordance with 29 CFR Part 37.11.
WHERE TO FILE
The State of Arizona uses a three-level system that allows a complainant to file a complaint at either the local level with the
Local Workforce Investment Area (LWIA) Equal Opportunity (EO) Officer; at the state level with the State WIA EO Officer;
or at federal level with the Director of Civil Rights Center (CRC).
1. LOCAL AREA COMPLAINTS
The complainant may file a complaint with the LWIA EO Officer. Contact information for the Local Area EO Officer will be
made readily available at all Local Area offices, as well as through the Local Area sub-recipients and service providers.
2. STATE LEVEL COMPLAINTS
The complainant may file at the state level with the State WIA EO Officer:
State WIA EO Officer
Employment Administration/WIA Section
Arizona Department of Economic Security
1789 West Jefferson- Site Code 920Z
Phoenix, AZ 85007
(602) 542-2487 fax (602) 542-2491
TTY/TDD Services: 7-1-1
StateWIAEOOfficer@azdes.gov
3. FEDERAL LEVEL COMPLAINTS
If the complainant elects to file at the federal level, the complaint will be referred to:
Director, Civil Rights Center (CRC),
U.S. Department of Labor
200 Constitution Avenue NW, Room N-4123
Washington, DC 20210
Voice (202) 693-6502
TTY (202) 693-6515
CivilRightsCenter@dol.gov
Should the complainant choose to file directly with the CRC Director, the LWIA EO Officer will assist the complainant (if
requested) in completing the Complaint Information Form. For those individuals not requesting assistance, but needing forms,
addresses, etc., LWIA EO Officer will provide the necessary U.S. Department of Labor Discrimination Information Form.
Forms may be found at the following website:
English:
Spanish:
See page 4 for EOE/ADA/LEP/GINA disclosures
Attachment A
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