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What Was the Cause of the Discrimination?
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Who or What Discriminated Against You?
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Have You Filed A Grievance Anywhere Else? Such as a Law firm or Government Agency?
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If Employment Related, Have You Filed a Complaint With Your Union? (N/A if doesn't apply)
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Union Rep's Contact Number (N/A if doesn't apply)
If You Answered Yes to the Last Question, Who is Your Representative and What is Their Contact Information? (N/A if doesn't apply)
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Have You Retained an Attorney? (N/A if doesn't apply)
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What Is The Date That The Discrimination Occurred or the Most Recent Date if it is Continuous?
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By checking below, I affirm that I have read and fully comprehend the above charge and accusation that I am filing and further that it is true to the best of my knowledge based on the information that I have obtained.
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VIRGIN ISLANDS,U.S. (+1340)
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