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Fedex Age Discrimination (courier discrimination)

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Defendant:
(who caused the harm?)

Federal Express (age discrimination)

*Describe your complaint:
(briefly describe the damages you have suffered)

Location of Your Workplace:

Station #

Address:

Your Job Title with Federal Express:

Your Employee #:

When did you first start work with Federal Express:

Have you held jobs other than full time courier?

Yes No

When did you achieve 10 years' seniority?

If you are no longer a Federal Express courier:

When did your employment end?

Describe the circumstances?

Describe how you think Fed Ex is harming older couriers:

Describe how Fed Ex treats younger couriers better than you and other older couriers?

Have you lost benefits as a result of Fed Ex discrimination?

Yes No

Describe how Fed Ex might have mistreated you for the purpose of interfering with your benefits:

Have you filed any charge of discrimination, lawsuit or internal complaint relating to the injustice you describe?

Yes No

If so, provide the date of filing, the charge or case number and describe where you are in the process:

*First name:

*Last name:

*Email address:

*Confirm email address:

*Phone number(s):

*Zip/Postal Code:

Best time & way to contact you:

I would like to be interviewed by a journalist.

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