Quick Answer
Downloadable templates for discrimination, harassment, wage, FMLA, and retaliation complaints.
Use these copy-ready templates to report workplace issues. Customize with names, dates, and specifics. Keep copies of everything you send.
How To Use
- Replace [bracketed] fields
- Keep tone factual and concise
- Attach supporting evidence
- Submit via the channel specified by your policy (email/portal/HR)
- Save a copy and request written confirmation of receipt
Discrimination Complaint Letter (Template)
[Your Name] [Job Title] [Department] [Email] • [Phone] [Date]
Subject: Discrimination Concern – [Protected Basis]
Hello [HR/Manager Name],
I am writing to report discrimination based on [protected basis, e.g., sex, race, disability]. On [date(s)], [brief facts: what happened, who was involved, location].
This conduct affects my employment because [impact: schedule, pay, duties, discipline]. I request that the company investigate and take appropriate action. I am available to provide more information and witnesses.
Please confirm receipt of this message and advise on next steps.
Sincerely, [Your Name]
Harassment Complaint Letter (Template)
Subject: Harassment Complaint – [Type]
Hello [HR/Manager Name],
I am reporting workplace harassment. On [date(s)], [describe incidents]. I have attached [screenshots/emails] and can provide witness names.
This behavior is unwelcome and violates company policy. I request prompt investigation and corrective action.
Sincerely, [Your Name]
Wage Complaint Letter (Template)
Subject: Unpaid Wages/Overtime – [Dates/Weeks]
Hello [Payroll/HR],
I believe I was not paid correctly for [dates]. I worked approximately [hours], including [missed/short meal breaks, off-the-clock tasks]. My pay appears short by [estimate].
Please review my time and pay records and let me know when this will be corrected.
Thank you, [Your Name]
FMLA Complaint Letter (Template)
Subject: FMLA Rights Concern – [Leave Dates]
Hello [HR],
I am experiencing issues related to my FMLA leave. Specifically, [denied leave, interference, retaliation]. My leave dates: [dates]. I have attached supporting documentation.
Please advise how the company will address this and prevent further issues.
Sincerely, [Your Name]
Retaliation Complaint Letter (Template)
Subject: Retaliation Concern – [Protected Activity]
Hello [HR/Manager Name],
After I [reported harassment/filed a wage complaint/requested accommodation] on [date], I experienced [adverse action: schedule cuts, write-up, termination threat]. The timing suggests retaliation for protected activity.
Please investigate and confirm corrective steps.
Sincerely, [Your Name]
Next Steps
- If the company does not act, consider agency complaints: EEOC for discrimination/retaliation; DOL WHD for wage issues.
- Keep copies of all communications and outcomes.
Sources
- EEOC guidance – https://www.eeoc.gov
- DOL WHD – https://www.dol.gov/agencies/whd