Pregnancy Discrimination Reporting

    Do you feel you were discriminated against because of your pregnancy?

    Did your employer or potential employer tell you that your pregnancy played a part in making their decision?

    Did you tell your employer of your pregnancy?

    Were you penalized or fired after requiring time off for a pregnancy-related illness?

    Did your employer fire you or require you to remain on leave until after delivery?

    Were you told your position was no longer available after your maternity leave?

    Were you offered a similar position within the company? (required)

    Did your employer refuse to make accommodations for your pregnancy? (For example, were you told that you could not perform your required job duties if you could not lift heavy weights, stand for extended periods, wear the required uniform.)

    What accommodations were refused? (select all that apply)

    Did your employer make temporary job duty modifications for injured employees?

    Did your boss fire or demote you after learning of your pregnancy?

    Did your employer deviate from their usual procedures in your case? For instance, your manager cited performance issues as the reason for your termination. Yet, the company gave other employees with performance issues written warnings and a chance to improve before firing?

    Did your employer state they were terminating your employment because you lacked a specific skill set?

    Did other women in the company leave around the same term of their pregnancy?

    Did your employer require you to take a specified amount of time off after childbirth?

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