DLR WIOA Section 10 Form 2 REV 11/2020
SOUTH DAKOTA DEPARTMENT OF LABOR AND REGULATION
WORKFORCE SERVICES
sdjobs.org
EQUAL OPPORTUNITY IS THE LAW
State and federal laws prohibit the South Dakota Department of Labor and Regulation (DLR) from discriminating on the
following bases:
Against any individual in the United States, on the basis of race, color, creed, religion, age, sex, ancestry, political
affiliation, or belief, national origin, or disability; and
Against any beneficiary of programs financially assisted through the DLR on the basis of the beneficiary’s
citizenship/status as a lawfully admitted immigrant authorized to work in the United States, or his or her
participation.
The DLR must not discriminate in any of the following areas:
Decisions on who will be admitted, or have access, to any DLR financially assisted program or activity;
Providing opportunities in, or treating any person with regard to, such a program or activity; or
Making employment decisions in the administration of, or in connection with, such a program or activity.
If you think you have been subjected to discrimination through a DLR financially assisted program or activity, you may
file a complaint within 180 days from the date of the alleged violation with either
Equal Opportunity Officer Civil Rights Center (CRC)
South Dakota Department of U.S. Department of Labor
Labor and Regulation or 200 Constitution Ave. NW
123 W. Missouri Ave. Room N-4123
Pierre, SD 57501 Washington, D.C. 20210
If you file your complaint with the DLR, you must wait either until the DLR issues a Notice of Final Action, or until 90 days
have passed (whichever happens first), before filing a complaint with the Civil Rights Center (CRC).
If the DLR does not give you written Notice of Final Action within 90 days of the day on which you filed your complaint,
you do not have to wait for the DLR to issue the Notice before filing a complaint to the CRC. However, you must file your
CRC complaint within 30 days of the 90-day deadline (in other words, within 120 days after the day on which you filed
you complaint with the DLR). You may request a printed copy of the DLR Grievance Procedures for more details.
If you receive a written Notice of Final Action from the DLR regarding your complaint, but you are dissatisfied with the
decision or resolution, you may file a complaint to the CRC. You must file the CRC complaint within 30 days of the date
on which you received the Notice of Final Action from the DLR.
OTHER GRIEVANCES
To appeal the decision of DLR staff, not discriminatory in nature, an individual will contact the manager at the Job
Service Office within 15 calendar days of the decision to explain their appeal with the manager. The manager will then
provide a solution or explanation within 15 calendar days. As a SCSEP Participant, the appeal will be communicated to
the SCSEP Labor Program Specialist who will determine an outcome in 15 days. If the individual would like to appeal the
manager’s decision or finds it difficult to discuss the problem with the manager, they may proceed directly to the
Director of Workforce Training as discussed in the next paragraph.
If the individual chooses to appeal the manager’s decision, written justification and any supporting documentation
should be provided to the Director of Workforce Training within 15 days from the manager’s response. If a written
appeal is not received by the Director Training within 15 calendar days of the manager’s decision, the manager’s
DLR WIOA Section 10 Form 2 REV 11/2020
decision will be final.
Director of Workforce Training
South Dakota Department of Labor and Regulation
123 W. Missouri Ave.
Pierre, SD 57501
The Director of Workforce Training will make a final determination in writing within 15 days of receipt of the letter. If
additional time is required for the manager or Director of Workforce Training to provide a meaningful response, the
individual will be notified of the anticipated response date.
CERTIFICATION
This is to certify that the above information on Equal Opportunity and procedure for other grievances was explained to me and I
have received a copy of this notice. Auxiliary aids and services are available upon request to individuals with disabilities. DLR is an
Equal Opportunity employer/program.
___________________________________ ________________________________________ ___________
APPLICANT (PRINT) APPLICANT SIGNATURE DATE
_______________________________________ ____________________________________________ ____________
*PARENT/GUARDIAN (if applicant is under 18) SIGNATURE DATE
*Services are not withheld in the absence of a Parent/Guardian signature on this form.
This document explains state and federal law regarding equal opportunity and discrimination as it relates to the
Workforce Innovation and Opportunity Act (WIOA) programs. This document also contains information on how to file a
complaint if you think you have been subjected to discrimination by the DLR.
Print your name, provide a signature, and date the form.
click to sign
signature
click to edit
click to sign
signature
click to edit