Alaska Employment Discrimination Complaint Preparation Worksheet
ALASKA EMPLOYMENT DISCRIMINATION COMPLAINT PREPARATION WORKSHEET
Before you use this: Contact the Alaska State Commission for Human Rights promptly. Commission staff assists with drafting the formal complaint and prepares it for signature. The complaint must be notarized and filed with the Commission within 300 days after the alleged act for a single event; 6 AAC 30.230(c) addresses a continuing practice. This worksheet is a record to help you give the Commission the information required by 6 AAC 30.210(c). Sending this worksheet alone does not establish a filing date. The Commission provides notary service without charge.
People and employment
Your full name and address: [________________________________]
Your phone and private email: [________________________________]
Respondent's full legal name and address: [________________________________]
Your position, application, or other employment relationship: [________________________________]
Relevant work dates and decision makers: [________________________________]
What happened
Date of the alleged act: [__/__/____]
If you describe a continuing practice, when did it begin and when did it stop, if known? [________________________________]
Harm or adverse employment decision you experienced:
[____________________________________________________________]
Events, dates, people, and records supporting your account:
[____________________________________________________________]
[____________________________________________________________]
Why you believe the respondent acted this way:
[____________________________________________________________]
Reason the respondent gave you, if any:
[____________________________________________________________]
Basis you want staff to review under AS 18.80.220(a)(1) or (4): [RACE / RELIGION / COLOR / NATIONAL ORIGIN / AGE / PHYSICAL OR MENTAL DISABILITY / SEX / MARITAL STATUS OR CHANGE / PREGNANCY / PARENTHOOD / OPPOSITION TO A FORBIDDEN PRACTICE / PARTICIPATION IN A HUMAN RIGHTS PROCEEDING]
Other people you believe were harmed in the same way, and how staff may identify them, if applicable:
[____________________________________________________________]
Documents or witnesses to identify for staff: [________________________________]
Commission filing record
☐ Contact the Commission through its current complaint page and give staff the facts above. Follow its directions for drafting, reviewing, signing, notarizing, and filing the complaint.
☐ Check the final complaint for correct names, addresses, dates, stated harm, and the explanation the respondent gave. Keep a copy and ask the Commission to confirm the filing date.
Commission contacted: [__/__/____] Formal complaint filed, if confirmed: [__/__/____]
Filing confirmation or receipt: [________________________________]
Official sources
About this template
- Last updated
- November 3, 2026
- Citations checked
- November 3, 2026
- Jurisdiction
- Alaska
- Category
- Employment & HR
Legal authority
- AS 18.80.220(a)(1), (4)
- 6 AAC 30.210(a)-(d)
- 6 AAC 30.230(a)-(c)
- Alaska State Commission for Human Rights, Complaint Process
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.
AS 18.80.220(a)(1) (checked November 3, 2026): "an employer to refuse employment to a person, or to bar a person from employment, or to discriminate against a person in compensation or in a term, condition, or privilege of employment because of the person's race, religion, color, or national origin, or because of the person's age, physical or mental disability, sex, marital status, changes in marital status, pregnancy, or parenthood when the reasonable demands of the position do not require distinction on the basis of age, physical or mental disability, sex, marital status, changes in marital status, pregnancy, or parenthood;"
AS 18.80.220(a)(4) (checked November 3, 2026): "an employer, labor organization, or employment agency to discharge, expel, or otherwise discriminate against a person because the person has opposed any practices forbidden under AS 18.80.200 — 18.80.280 or because the person has filed a complaint, testified, or assisted in a proceeding under this chapter;"
6 AAC 30.210(a) (checked November 3, 2026): "A person aggrieved by an alleged practice prohibited by AS 18.80 may file a written complaint with the commission. A complaint may be filed in person, by mail, or in electronic form at any commission office."
6 AAC 30.210(b) (checked November 3, 2026): "The commission's staff will assist in drafting and filing the complaint."
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