COMPLAINT OF DISCRIMINATION IN THE FEDERAL GOVERNMENT
This file is used for filing complaints of discrimination within the federal government. It includes sections for contact information, details of the complaint, and additional information. It is essential for those who believe they have faced discrimination.
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How do I fill this out?
To fill out this form, begin by providing your full name, contact information, and the federal office you believe discriminated against you. Next, detail your current working status and the representative handling your case. Finally, specify the nature of the discrimination, provide a detailed account of the incidents, and sign and date the form.

How to fill out the COMPLAINT OF DISCRIMINATION IN THE FEDERAL GOVERNMENT?
1
Provide your full name, contact information, and the federal office you believe discriminated against you.
2
Detail your current working status and the representative handling your case.
3
Specify the nature of the discrimination faced.
4
Provide a detailed account of the incidents.
5
Sign and date the form.
Who needs the COMPLAINT OF DISCRIMINATION IN THE FEDERAL GOVERNMENT?
1
Federal employees who believe they have faced discrimination based on their race, color, religion, sex, national origin, age, disability, or other protected status.
2
Applicants for federal employment who believe they were discriminated against during the hiring process.
3
Employees who have discussed their concerns with an Equal Employment Opportunity Counselor and need to file a formal complaint.
4
Those who have experienced sexual harassment or reprisal for previous EEO activity.
5
Individuals who need to document and report incidents of discrimination in a formal manner.
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What are the instructions for submitting this form?
Submit the completed form via email to the designated EEO office or through an online submission form if available. You can also fax the form to the provided fax number or mail it to the physical address of the agency's complaint processing office. Ensure all fields are filled out accurately and attach any supporting documents. My advice is to keep a copy of the submitted form and proof of submission for your records.
What are the important dates for this form in 2024 and 2025?
Ensure you file your complaint within 15 calendar days of your final interview with the EEO Counselor in 2024 and 2025.

What is the purpose of this form?
The purpose of this form is to provide a formal method for federal employees and applicants to report and address incidents of discrimination. This form helps document the discriminatory actions, allowing for proper investigation and resolution. It also ensures that all relevant information is recorded and submitted in a structured manner, facilitating a fair review of the complaint.

Tell me about this form and its components and fields line-by-line.

- 1. Name: Full name of the complainant.
- 2. Telephone Number: Contact number including area code.
- 3. Address: Street, city, state, and ZIP code of the complainant.
- 4. Federal Office: The office believed to have discriminated.
- 5. Working Status: Current employment status with the federal government.
- 6. Nature of Discrimination: Details about the type of discrimination faced.
- 7. Incident Details: Specifics on how, when, and where the discrimination occurred.
- 8. Relief Sought: Desired corrective actions for the discrimination faced.
- 9. Witnesses: Names and information about witnesses to the alleged discrimination.
- 10. Signature: Signature of the complainant.
- 11. Date: Date when the form was filled out.
What happens if I fail to submit this form?
Failure to submit this form can delay or impair the processing of your complaint.
- Delayed Investigation: Your complaint may not be investigated promptly.
- Lost Opportunity: Potential remedies and corrections may be missed.
- Inability to Appeal: Missing deadlines can affect your right to appeal.
How do I know when to use this form?

- 1. Filing a Complaint: To initiate a formal complaint of discrimination.
- 2. Documentation: To provide a detailed account of discriminatory incidents.
- 3. Seeking Resolution: To request corrective actions for discrimination faced.
Frequently Asked Questions
What is the purpose of this file?
This file is used for filing complaints of discrimination within the federal government.
How can I fill out this form?
You can fill out this form by providing your personal details, information about the alleged discrimination, and signing the document.
Who needs to use this file?
Federal employees and applicants who believe they have faced discrimination need to use this file.
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You can sign the PDF form using the signature tool in PrintFriendly's PDF editor.
How can I share the PDF file?
You can share the PDF file by generating a shareable link or sending it via email through PrintFriendly.
What if I need assistance filling out the form?
You can contact an Equal Employment Opportunity Counselor for assistance, or use the representative section in the form for help.
How do I submit the completed form?
You can submit the completed form as directed in the submission instructions, which may include emails, fax numbers, and physical addresses.
What should I do if I miss the submission deadline?
If you miss the submission deadline, you may need to seek advice from an Equal Employment Opportunity Counselor or review the form's instructions for possible extensions.
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