Workplace Discrimination Complaint Log PDF (Free Download)
Document discriminatory incidents, who you reported to, and employer responses in one PDF.
Published November 30, 2025
Keeping a contemporaneous log makes EEOC or state agency complaints much stronger. Use this free PDF template to capture each discrimination incident, who was involved, and how your employer responded.
When to use this
- You plan to file with the EEOC or a state civil rights agency.
- You are seeing a pattern of discriminatory comments, assignments, or discipline.
- You want a clean summary to share with an employment attorney or union rep.
How to do it (fast)
- Enter your employer info, job title, and the protected characteristic involved.
- Log each incident with date, location, people involved, what happened, and who you reported it to.
- Capture responses or retaliation so investigators can see the pattern.
- Download the PDF and attach it to your agency complaint or legal consultation.
Why this helps
- Creates a dated narrative that supports hostile work environment or disparate treatment claims.
- Shows whether the employer responded, which is critical for failure-to-act or retaliation issues.
- Keeps facts organized for interviews with investigators or attorneys.
Related tools
- Workplace Harassment Incident Log PDF
- Workplace Harassment Retaliation Log PDF
- Unpaid Wage Dispute Log PDF
Not legal advice. Courts set their own rules. Keep your original records.
Start your discrimination log
Record incidents, witnesses, and employer follow-up in a private log before you file with an agency. Nothing is uploaded—your entries stay in your browser until you download the PDF.
Open the Workplace Discrimination Complaint Log