employment discrimination case only; not for federal employment case) Link to EEOC Field Offices finder Request for an EEOC Hearing Form (Appendix N EEO-MD-110, for federal case only, to be sent after receiving the Report of Investigation (ROI). See federal EEO process for more information) OFO appeal form: Notice of Appeal/Petition to Office of Federal Operations (EEOC Form 573): To appeal the Final Agency Decision (FAD) to the Office of Federal Operations (OFO) in DC (only for federal employment case; see federal EEO process for more information) A Sample of OFO appeal brief (to be submitted with or within 30 days after submitting Notice of Appeal/Petition to Office of Federal Operations) |
Designation of Representative for EEOC hearing
Designation of Representative for EEOC hearing
(EEOC form)
Complainant Affidavit
Complainant Affidavit (for USPS)
Witness Affidavit
Certificate of Service
Verification or Declaration
Interrogatories, request for production of
documents, and request for admission (blank)
Medical Questionnaire on Disabilities (a sample to
be sent to your doctor to verify your disabilities)
Authorization to Release Medical Information (a
blank form to be used to request medical
document from your doctor)
Motion to EEOC Judge (blank form)
Motion to Amend and to Consolidate the Charge
(EEOC hearing)
Designation of Representative for EEOC hearing
(EEOC form)
Complainant Affidavit
Complainant Affidavit (for USPS)
Witness Affidavit
Certificate of Service
Verification or Declaration
Interrogatories, request for production of
documents, and request for admission (blank)
Medical Questionnaire on Disabilities (a sample to
be sent to your doctor to verify your disabilities)
Authorization to Release Medical Information (a
blank form to be used to request medical
document from your doctor)
Motion to EEOC Judge (blank form)
Motion to Amend and to Consolidate the Charge
(EEOC hearing)
Disclaimer: Forms herein are provided by courtesy of EEO 21 for public use. Some may need to be updated or may
not be accepted by certain agencies. Use them at your own peril.
not be accepted by certain agencies. Use them at your own peril.
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MSPB & EEOC hearings, OFO appeals, informal and formal discrimination claims Non attorney uniquely serving nationwide from Philadelphia |