© Copy right by
EEO 21
, LLC
275 East Street Road, #27, Feasterville, PA, U.S.A.
EEOC Charge form (5)
(for private
employment discrimination complaint filing
at EEOC; not for
federal employees
)
Designation of Representative and EEO
Counselor Contact form
-- for establishing
contact with EEO Counselor to file
discrimination complaint in federal
employment and for notifying your
representative.
Designation of Representative for EEO
Formal Complaint
Process
Designation of Representative for EEOC
hearing process
Complainant Affidavit
(See also
How to
Write a Complaint of Discrimination
)
Complainant Affidavit (for USPS)
Witness Affidavit
Witness Questionnaire
Certificate of Service
Verification
or Declaration
Medical Questionnaire on Disabilities (a
sample to be sent to your doctor to verify your
disabilities)
Motion to EEOC Judge (blank form)
Disclaimer: Forms herein are provided by courtesy of EEO 21, LLC for public use. Some may need to be updated or
may not be accepted in relevant proceedings. Use them at your own peril.
Forced Resignation or Constructive
Discharge sample letter
Discrimination Complaint to US District Court
sample (non-hire or denied promotion)
Discrimination Complaint to US District Court
Pro se
(non-hire or denied promotion) (PDF)
Actual US District Court Complaint re ADAAA
(Word Doc)
Forms for EEOC hearing
Forms for OFO appeal
General Discrimination Complaint Forms
President Obama's
Executive Order on FOIA
dated January 21, 2009.
USDA Secretary Vilsack Memo dated April 21,
2009: "
A New Civil Rights Era for USDA
."
Federal EEO process explained
.
EEO Counselor's Checklist: Notice of
Pre-/Complainant Rights and
Responsibilities
. This worksheet of checklist
lays out Complainant's rights and
responsibilities throughout the federal EEO
process for GSA but applicable to all other
federal agencies. A good overview.
EEOC hearings
EEO representation
MSPB appeal hearings
Federal employment discrimination
specialist
serving nationwide
from Philadelphia