Delaware Employment Discrimination Charge Preparation Worksheet

Delaware Employment & HR Updated November 3, 2026 Free Word and PDF

DELAWARE EMPLOYMENT DISCRIMINATION CHARGE PREPARATION WORKSHEET

Before you use this: Contact the Delaware Office of Anti-Discrimination and complete its official intake questionnaire. The Office may prepare a formal charge for your signature. Sending the intake questionnaire is not the same as filing a charge. Under 19 Del. C. § 712(c)(1)a., a concise, written, signed, verified charge must be filed within 300 days after the alleged unlawful employment practice or its discovery. Contact the Office promptly if the deadline may be close.

People and worksite

Your full name and private contact details: [________________________________]

Employer's full legal name, mailing address, and phone: [________________________________]

Delaware worksite and county: [________________________________]

Your position, application, or other employment relationship: [________________________________]

People who made or communicated the decision: [________________________________]

Facts to give the Office

Date of the adverse action: [__/__/____]

Date you discovered it, if later: [__/__/____]

What happened, including dates, people, and the employer's stated reason:

[____________________________________________________________]

[____________________________________________________________]

Why you believe the action was unlawful discrimination, and facts supporting that belief:

[____________________________________________________________]

[____________________________________________________________]

Relevant documents and witnesses: [________________________________]

If you previously filed with the EEOC, case number and date: [________________________________]

If an attorney represents you, contact details: [________________________________]

What outcome are you asking the Office to consider? [________________________________]

Complete the agency process

☐ Transfer the facts to the Office's current intake questionnaire and submit it using a method listed on that form. Retain a copy and proof of delivery.

☐ If the Office prepares a formal charge, review its names, dates, and allegations; follow its instructions for signing, verifying, and filing that charge. Confirm the charge filing date with the Office.

Intake submitted: [__/__/____] Formal charge filed, if confirmed: [__/__/____]

Office confirmation or receipt: [________________________________]

Official sources

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About this template

Last updated
November 3, 2026
Citations checked
November 3, 2026
Jurisdiction
Delaware
Category
Employment & HR

Legal authority

  • 19 Del. C. § 712(c)(1)a.
  • Delaware Office of Anti-Discrimination, How do I file a discrimination complaint?
  • Delaware Office of Anti-Discrimination, Discrimination Intake Form

Employment documents govern the relationship between a company and its workers, from offer letters and employment agreements through handbooks, performance reviews, and separations. Done right, they set clear expectations, protect against wrongful termination and discrimination claims, and give both sides a record to rely on. Done poorly, they invite lawsuits, agency complaints, and costly disputes.

Not legal advice

This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Checked against the law it cites

A reviewer verified this template's legal citations against the official source on November 3, 2026.

19 Del. C. § 712(c)(1)a. (checked November 3, 2026): "Any person claiming to be aggrieved by a violation of this chapter shall first file a charge of discrimination within 300 days of the alleged unlawful employment practice or its discovery, setting forth a concise statement of facts, in writing, verified and signed by the charging party."

Delaware Office of Anti-Discrimination, How do I file a discrimination complaint? (checked November 3, 2026): "To begin the process, you must contact the Office of Anti-Discrimination and complete an intake form. OAD will review your information and may prepare a formal charge for your signature."

Delaware Office of Anti-Discrimination, Discrimination Intake Form (checked November 3, 2026): "submission of the intake questionnaire does not complete the process of filing a charge of employment discrimination."

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