Forms

General Discrimination Complaints

General Discrimination Complaint Samples:

 

Forced Resignation or Constructive Discharge sample letter





General Discrimination Complaint Forms:

 

➤ EEOC Charge Form (5)

  • Note: For private employment discrimination case only; not for federal employment case.

➤ 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.

➤ Designation of Representative for EEO Counselor Contact Form

  • For establishing contact with EEO Counselor to file discrimination complaint in federal employment and for notifying your representative.









➤ Medical Questionnaire on Disabilities

  • A sample to be sent to your doctor to verify your disabilities.


General Discrimination Resources:


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.

 

Disclaimer

  • Mr. Lee is not an attorney but can represent clients in federal administrative processes, including EEOC hearings and MSPB hearings.
  • Mr. Lee does not practice law and cannot provide attorney-client protection privileges.  However, as any union shop steward can, Mr. Lee can represent federal employees at any administrative proceeding including those referenced above.
  • Mr. Lee cannot and does not represent clients at court proceedings.