This version of the form is not currently in use and is provided for reference only. Download this version of Form F416-011-000 for the current year.
This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form F416-011-000?
A: Form F416-011-000 is a discrimination complaint form used in Washington State.
Q: What is Dosh?
A: Dosh stands for Division of Occupational Safety and Health, which is responsible for enforcing workplace safety and health laws in Washington.
Q: Who can file a discrimination complaint using this form?
A: Any employee who believes they have been discriminated against in violation of Washington's workplace safety and health laws can file a complaint using this form.
Q: What should I do if I want to file a discrimination complaint?
A: You should fill out Form F416-011-000, providing all the required information and explaining the details of your complaint.
Q: What are the important things to include in my discrimination complaint?
A: You should include the specifics of the discrimination you experienced, names of involved parties, dates, locations, and any supporting evidence or witnesses.
Q: What happens after I submit my discrimination complaint?
A: The Dosh will review your complaint, conduct an investigation if necessary, and take appropriate actions to resolve the issue and ensure compliance with workplace safety and health laws.
Q: Is there a deadline for filing a discrimination complaint?
A: Yes, you must file your complaint within 180 days of the alleged discrimination.
Q: Can I file a discrimination complaint anonymously?
A: Yes, you have the option to file a complaint anonymously, but providing your contact information can help in the investigation process.
Q: What protections do I have against retaliation for filing a discrimination complaint?
A: Washington law prohibits employers from retaliating against employees who file a discrimination complaint, and you have rights and legal recourse if retaliation occurs.
Form Details:
Download a fillable version of Form F416-011-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.