Outdated or Unsupported Browser Detected
DWD's website uses the latest technology. This makes our site faster and easier to use across all devices. Unfortunatley, your browser is out of date and is not supported. An update is not required, but it is strongly recommended to improve your browsing experience. To update Internet Explorer to Microsoft Edge visit their website.

Retaliation Complaint

Document Number: ERD-18359-E

Description: This form should be used to file a claim of retaliation under section 111.322(2m) of the Wisconsin Statutes.

Comments: This form should be used to file retaliation complaints if you believe you were retaliated against because:

  • you filed or assisted with a complaint filed with the Equal Rights Division,
  • your employer believed that you did or would file or assist with such a complaint or
  • you attempted to, or your employer believed that you attempted to formally enforce any right under any of the following laws:
    • Wage Claim Law
    • Overtime Law
    • Illegal Wage Deduction Law
    • Employment of Minors Law
    • Wisconsin Family and Medical Leave Law
    • Open Personnel Records Law
    • Health Care Worker Protection Law
    • Employee Right to Know Law
    • Public or Tribal Employees Reporting Fraudulent Activities Law
    • Wisconsin Bone Marrow and Organ Donation Leave Law
    • Social Media Law
    • Mergers, Acquisitions, Dispositions, Relocations or Cessation of Operations Affecting Employees Law
    • Cessation of Health Care Benefits affecting Employees, Retirees and Dependents Law
    • Regulation of Traveling Sales Crew Law

Content Contact:Equal Rights Information

Document Attachments:

ERD-18359-E (Electronic Version - Word/130 KB)

ERD-18359 (Print Version - pdf/132 KB)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.