© Copy right by
148 East Street Road, Suite 321, Feasterville, PA, U.S.A.
Disclaimer: Forms herein are provided by courtesy of EEO 21
for public use. Some may need to be updated or may not be
certain agencies. Use them at your own peril.
hearing and OFO f
Designation of representative, hearing request form, charge form, affidavit,
sample motion, etc.)
appeal hearing f
appeal form, petition for review, sample motion,
designation of representative
Designation of Representative form, s
ample affidavit, Certificate of Service, Interrogatories, Constructive Discharge
form, sample of court complaint, etc.)
Formal discrimination complaint forms for
federal employees against
Dept. of Veterans Affairs:
VA Form 4939
Dept. of The Air Force:
DD Form 2655
Dept. of The Army:
DD Form 2590
General Services Administration:
GSA Form 3467
US Postal Service:
PS Form 2565
Above forms are not to be used when contacting the EEO counselor for new (informal) claims.
EEO process in the federal government.
EEOC Charge Form (5)
for private or state employment discrimination only, not for federal employees.
How to write a complaint of discrimination
More forms & duplicates
MSPB appeal hearings
Federal employment discrimination
Download a flow chart in Word doc