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[DOC File]EEOC Form 573 - U.S. Department of Defense
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FORM NUMBER/TITLE/DATE: EEOC Form 573, Notice of Appeal/Petition, January 2001 AUTHORITY: 42 U.S.C. § 2000e-16 PRINCIPAL PURPOSE: The purpose of this questionnaire is to solicit information to enable the Commission to properly and efficiently adjudicate appeals filed by Federal employees, former Federal employees, and applicants for Federal ...
eeo formal complaint form

[DOC File]Complaint of Discrimination - EEO 21, EEOC & MSPB hearing ...
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Complaint of Discrimination . I, XXX, allege that I was harassed and treated differently and adversely by my first line supervisor, Mr. XXX based on my sex, female; age, 54 (DOB, XXX); and in retaliation for filing a formal complaint of discrimination on July 16, 2007, as follows: 1. On August 29, 2008, in presence of Postmaster XXX and Shop ...
eeoc online complaint form

[DOC File]EEOC FORM - Farm Service Agency
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Measure has been met For all unmet measures, provide a brief explanation in the space below or complete and attach an EEOC FORM 715-01 PART H to the agency's status report Measures Yes No In accordance with 29 C.F.R. §1614.102(b), has the agency established an ADR Program during the pre-complaint and formal complaint stages of the EEO process?
eeoc form 5 pdf

[DOCX File]EEOC Form 5 (11/09)
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Statement and other information before completing this form. FEPA. X. EEOC. Florida Commission On Human Relations. and EEOC. State or local Agency, if any. Name (indicate Mr., Ms., Mrs.) Home Phone (Incl. Area Code) Date of Birth. Street AddressCity, State and ZIP Code.
eeo complaint form

[DOC File]Discrimination/Harassment/Retaliation Complaint Form ...
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INSTRUCTIONS FOR COMPLETING THE PDF FORM: Print the form. Upon completion of the form, sign it and mail or fax it to the address below. “Today’s Date” refers to the date that you complete the form. ... If yes, please indicate agency name and date complaint was …
how to file an eeoc complaint

[DOC File]I
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I want this charge filed with both the EEOC and the State or Local Agency, if any, I will advise the agencies if I change my address or telephone number and I will cooperate fully with them in the processing of my charge in accordance with their procedures.
pa eeoc complaint form pdf

Eeoc complaint form pdf