© Copy right by EEO 21, LLC
148 East Street Road, Suite 321, 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

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 for public use.  Some may need to be updated or may
not be accepted by certain agencies.  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)
General Discrimination Complaint Forms
    A federal EEO & mediation specialist
    MSPB & EEOC hearings, OFO appeals, informal and formal discrimination claims
    Non attorney uniquely serving nationwide from Philadelphia
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."