Generally, you will be asked for your name, address, and phone number, and the name, address, and phone number of your employer. You will also need to provide the dates that the discrimination occurred and what type of discrimination it was. You need to remember two things here:
1. there are time limits for reporting discrimination. In most cases the time limit is three hundred days, so an incident that happened two years ago will probably not help in your complaint; and,
2. you are limited to filing a complaint about the discrimination due to age, race, sex, color, national origin, religion, disability, and retaliation. The EEOC office will ask you to state that you want to file a discrimination charge and sign the document.
The EEOC district office where you are filing the charge may want additional information. Also your attorney will provide a lot of additional information in his or her written complaint for your case.