EO Complaint Forms

EO Complaints

Every applicant, participant, employee or other interested party shall have the right, without fear of reprisal, to present a complaint or grievance.

Grievances are divided into two areas. If the complaint is based on grounds of race, color, religion, sex, national origin, citizenship, age, disability or political affiliation or belief, it is an Equal Opportunity or discrimination complaint and the Equal Opportunity is the Law procedure below should be followed.

If the complaint is based on grounds other than those above, it is considered a non-equal opportunity or non-discrimination complaint. All non-discrimination complaints are processed by the Central Workforce Board, with the right to appeal to Oklahoma Employment Security Commission, PO Box 52003, Oklahoma City, Oklahoma 73152-2003. You should state whether or not your complaint is equal opportunity or discrimination related. A complaint must be filed within (15) days from the date of the violation(s) which is the basis of the grievance. If you believe that the rules of the WIOA have been broken, it is your right to file a complaint and you cannot be penalized in any way for filing a complaint.

You can learn more about our grievance procedures by contacting the following individual:

Kim Chapman, Local EO Officer
Central Oklahoma Workforce Innovation Board
3813 N Santa Fe, Ste 135
Oklahoma City, OK 73118
Phone: 405-622-2026 X 308
TTY: 711 or 1-800-722-0353
Email: kimchapman@cowib.org

Equal Opportunity is the Law

It is against the law for this recipient of Federal financial assistance to discriminate on the following basis:

  • Against any individual in the United States, on the basis of race, color, religion, sex, national origin, age, disability, political affiliation or belief; and
  • Against any beneficiary of programs financially assisted under Title I of the Workforce Innovation and Opportunity Act (WIOA), on the basis of the beneficiary’s citizenship/status as a lawfully admitted immigrant authorized to work in the United States, or his or her participation in any WIOA Title I-financially assisted program or activity.
  • The recipient must not discriminate in any of the following areas:
    • Deciding who will be admitted, or have access, to any WIOA Title-I financially assisted program or activity;
    • Providing opportunities in, or treating any person with regard to, such a program or activity; or
    • Making employment decisions in the administration of, or in connections with, such a program or activity.

What to Do If You Believe You Have Experienced Discrimination

If you think that you have been subjected to discrimination under a WIOA Title-I financially assisted program or activity:

You may file a complaint within 180 days from the date of the alleged violation with either:

The recipient’s Equal Opportunity Officer or person who has been designated for purpose name, address and phone numbers as listed above

OR

The Director, Civil Rights Center (CRC), U.S. Department of Labor, 200 Constitution Avenue NW, Room N-4123, Washington, DC 20210.

If you file your complaint with the recipient, you must wait either until the recipient issues a written Notice of Final Action, or until 90 days have passed (whichever is sooner), before filing with the Civil Rights Center (see address above).
If the recipient does not give you a written Notice of Final Action within 90 days of the day on which you filed your complaint, you do not have to wait for the recipient to issue that Notice before filing a complaint with CRC. However, you must file your CRC complaint within 30 days of the 90-day deadline (in other words, within 120 days after the day on which you filed your complaint with the recipient).
If the recipient does give you a written Notice of Final Action on your complaint, but you are dissatisfied with the decision or resolution, you may file a complaint with CRC. You must file your CRC complaint within 30 days of the date on which you received the Notice of Final Action.

After reviewing the above, if you believe that you have been discriminated against, please continue to fill out the complaint forms.

WIOA EQUAL OPPORTUNITY AND NONDISCRIMINATION COMPLAINT FORM, CONSENT, AND NOTICE OF INVESTIGATORY USES

This form should be used by anyone who wishes to file a discrimination complaint against any person(s)/entity while involved in Oklahoma WIOA funded programs. To file a discrimination complaint, complete this form, sign, and submit to the Local Equal Opportunity Officer as follows:

Kim Chapman

Equal Opportunity Officer

3813 N Santa Fe Ave #135

Oklahoma City, OK 73188

405.622.2026

TDD: 771 or 800.722.0353

1. Complainant Information

2. Complainant Contact Information

When is it a convenient time during business hours (8am - 5pm) to contact you by phone about this complaint? Enter weekdays, times, and phone to contact on.

3. Contact information for the person(s) this complaint is against:

4. Tell us about the incident(s)

  • Explain briefly what happened.
  • Provide the dates when the incident(s) occurred.
  • Indicate who this program discrimination complaint is against. Include names and titles, if possible.
  • If other people were treated differently than you, tell us how they were treated differently.
  • Attach any documents that you think might help us better understand your complaint.

    • 5. Please list below any person(s) (witnesses) that we can contact for additional information to support or clarify the complaint.

    6. If this complaint involves discrimination, please check the type of discrimination you experienced, such as age, race, color, religion, sexual orientation, national origin, physical or mental disability, etc. If you believe more than one basis was involved, you may check more than one box.

    7. Have you previously filed a complaint against this person(s)/entity?

    8. What corrective action or remedy do you seek?

    9. Choosing a personal representative:

  • You may choose to have someone else represent you in dealing with this complaint. It may be a relative, friend, an attorney, or someone else.
  • If you choose to appoint someone to represent you, all of our communication to you will be routed through your representative.

    • AUTHORIZATION OF PERSONAL REPRESENTATIVE

    I wish to authorize the individual identified below to act on my behalf as my personal representative, in matters such as mediation, settlement conferences, or investigations regarding this complaint.

    10. Alternate Dispute Resolution (ADR) also known as mediation

    Notice: You must indicate if you wish to mediate your case. The Equal Opportunity Officer cannot begin to process your complaint until you have made a selection. Please check "Yes" or "No" in the space below.

  • Mediation is an alternative to having your complaint investigated.
  • Neither party loses anything by mediating.
  • The parties to the complaint, review the facts, discuss options about the facts, and strive for an agreement that is satisfactory to both.
  • Agreement to mediate is not an admission of guilt by the person(s)/entity that you claim discriminated against you.
  • Mediation is conducted by a trained, qualified and impartial mediator.
  • You (or your Personal Representative) have control to negotiate a satisfactory agreement.
  • Terms of the agreement are signed by the complainant and the person(s)/entity that you claim discriminated against you.
  • Agreements are legally binding on both sides.
  • Failure to keep an agreement will result in a formal investigation will start.
  • A formal investigation will be opened if retaliation is reported.

    • If you select "Yes", you will be contacted within five (5) business days with more information.

    11. Complainant Signature

    You must sign this form for your complaint to be processed.

    Faxed or otherwise electronically delivered complaints will be logged into our system; however, an official investigation cannot begin until the original, signed copy is received by our office.

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    Additional References/Resources: