Get No No Download Needed Needed Form 2564 A

Privacy Act Notice Employment Opportunity Act of 1972 42 U.S.C. 2000e-16 the Age Discrimination in Employment Act of 1967 as amended 29 U.S.C. 633a the Rehabilitation Act of 1973 as amended 29 U.S.C. 794a and Executive Order 11478 as amended. This information will be used to adjudicate complaints of alleged discrimination and to evaluate the effectiveness of the EEO program. As a routine use this information may be disclosed to an appropriate government agency domestic or foreign for law enforcement purposes where pertinent in a legal proceeding to which the USPS is a party or has an interest to a government agency in order to obtain information relevant to a USPS decision concerning employment security clearances contracts licenses grants permits or other benefits to a government agency upon its request when relevant to its decision concerning employment security clearances security or suitability investigations contracts licenses grants or other benefits to a Signature of Claimant PS Form 2564-C June 2001 congressional office at your request to an expert consultant or other person under contract with the USPS to fulfill an agency function to the Federal Records Center for storage to the Office of Management and Budget for review of private relief legislation to an independent certified public accountant during an official audit of USPS finances to an investigator administrative judge or complaints examiner appointed by the Equal Employment Opportunity Commission for investigation of a formal EEO complaint under 29 CFR 1614 to the Merit Systems Protection Board or Office of Special Counsel for proceedings or investigations involving personnel practices and other matters within their jurisdiction and to a labor organization as required by the National Labor Relations Act. Under the Privacy Act provision the information requested is voluntary for the complainant and for Postal Service employees and other witnesses. I further stipulate that my withdrawal did not result from threat coercion intimidation promise or inducement. Privacy Act Notice Employment Opportunity Act of 1972 42 U.S.C. 2000e-16 the Age Discrimination in Employment Act of 1967 as amended 29 U.S.C. 633a the Rehabilitation Act of 1973 as amended 29 U.S.C. 794a and Executive Order 11478 as amended. This information will be used to adjudicate complaints of alleged discrimination and to evaluate the effectiveness of the EEO program. As a routine use this information may be disclosed to an appropriate government agency domestic or foreign for law enforcement purposes where pertinent in a legal proceeding to which the USPS is a party or has an interest to a government agency in order to obtain information relevant to a USPS decision concerning employment security clearances contracts licenses grants permits or other benefits to a government agency upon its request when relevant to its decision concerning employment security clearances security or suitability investigations contracts licenses grants or other benefits to a Signature of Claimant PS Form 2564-C June 2001 congressional office at your request to an expert consultant or other person under contract with the USPS to fulfill an agency function to the Federal Records Center for storage to the Office of Management and Budget for review of private relief legislation to an independent certified public accountant during an official audit of USPS finances to an investigator administrative judge or complaints examiner appointed by the Equal Employment Opportunity Commission for investigation of a formal EEO complaint under 29 CFR 1614 to the Merit Systems Protection Board or Office of Special Counsel for proceedings or investigations involving personnel practices and other matters within their jurisdiction and to a labor organization as required by the National Labor Relations Act.