Form IN-5 PACKET "Sample Formal Response" - Illinois

What Is Form IN-5 PACKET?

This is a legal form that was released by the Illinois Department of Human Rights - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2018;
  • The latest edition provided by the Illinois Department of Human Rights;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form IN-5 PACKET by clicking the link below or browse more documents and templates provided by the Illinois Department of Human Rights.

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Download Form IN-5 PACKET "Sample Formal Response" - Illinois

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SAMPLE FORMAL RESPONSE
STATE OF ILLINOIS
DEPARTMENT OF HUMAN RIGHTS
IN THE MATTER OF:
)
)
(name)
)
)
Complainant,
) Charge No.:
) EEOC No.:
and
)
)
(name)
)
)
Respondent.
)
NOW COMES the Respondent,
,
and
responds to the Charge of Discrimination filed against it by the Complainant,
,
as
follows:
(Note: The formal Response should continue and respond to as many points by letter and
number as are in the charge. The following points are used as examples only; the charge
you received may contain many more lettered and numbered points.)
I.
A.
ISSUE/BASIS
B.
PRIMA FACIE ALLEGATIONS (These are the specific allegations
Complainant is charging against you.) You need to respond to each
numbered allegation, using whatever response applies in this
particular case:
1. Respondent admits that….or Respondent denies that….
2. Respondent denies all the allegations in paragraph
of the
Charge
3. Respondent lacks sufficient knowledge to answer and demands
a more definite statement that…..
4. Respondent denies that it discriminated against Complainant.
Respectfully submitted,
(Respondent name)
By:
(name/title)
Now you must provide a statement that you gave or mailed a copy of your formal
Response to the complainant as indicated on the next page.
(Continued to page two.)
IN-5 packet (HB 3092)
Rev. 09/18
SAMPLE FORMAL RESPONSE
STATE OF ILLINOIS
DEPARTMENT OF HUMAN RIGHTS
IN THE MATTER OF:
)
)
(name)
)
)
Complainant,
) Charge No.:
) EEOC No.:
and
)
)
(name)
)
)
Respondent.
)
NOW COMES the Respondent,
,
and
responds to the Charge of Discrimination filed against it by the Complainant,
,
as
follows:
(Note: The formal Response should continue and respond to as many points by letter and
number as are in the charge. The following points are used as examples only; the charge
you received may contain many more lettered and numbered points.)
I.
A.
ISSUE/BASIS
B.
PRIMA FACIE ALLEGATIONS (These are the specific allegations
Complainant is charging against you.) You need to respond to each
numbered allegation, using whatever response applies in this
particular case:
1. Respondent admits that….or Respondent denies that….
2. Respondent denies all the allegations in paragraph
of the
Charge
3. Respondent lacks sufficient knowledge to answer and demands
a more definite statement that…..
4. Respondent denies that it discriminated against Complainant.
Respectfully submitted,
(Respondent name)
By:
(name/title)
Now you must provide a statement that you gave or mailed a copy of your formal
Response to the complainant as indicated on the next page.
(Continued to page two.)
IN-5 packet (HB 3092)
Rev. 09/18
Instructions:
1.
A person with knowledge of the facts should sign the formal Response.
Unless Respondent’s attorney has first-hand knowledge of the facts of the
charge, Respondent’s attorney should not sign.
(Usually, Respondent’s
Human Resources Manager has sufficient knowledge to sign.)
2.
If Respondent’s attorney signs the formal Response, then Respondent’s
attorney must provide his/her name, law firm name, address, and telephone
number on the response.
3.
In order for the formal Response to be complete, you must:
a. Serve a copy of the formal Response on the Complainant by mail or
other means; and
b. Indicate to the Department that you have served the formal Response in a
Certificate of Service or other written statement.
SAMPLE CERTIFICATE OF SERVICE
CERTIFICATE OF SERVICE
The undersigned certifies that a copy of the foregoing formal Response to the charge of
discrimination was served upon:
Complainant Name
Address
Address
By depositing same in the U.S. Mail at (address)
, (city)
, IL
(zip code) on
the
day of
, 20--.
Name
IN-5 packet (HB 3092)
Rev. 09/18
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