Get Va 4939 2012

Filling out the VA 4939, Complaint of Employment Discrimination form, is an essential step in addressing your concerns regarding discriminatory practices. This guide offers a clear, step-by-step approach to assist you in completing the form efficiently and accurately.

Follow the steps to fill out the VA 4939 with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor. This allows you to access the necessary document for your complaint.
2. Provide your name in the first section, ensuring to print your last name, first name, and middle initial clearly. This is crucial for identifying your complaint.
3. In the subsequent field, enter your mailing address. This should be the address where you can receive correspondence regarding your complaint.
4. Fill in your work telephone number in the designated field, including the area code. This helps facilitate communication if needed.
5. Enter your email address to receive updates and notifications related to your case. It is important that this information is accurate.
6. Provide your home telephone number, including the area code, to ensure that alternate contact methods are available.
7. Describe your job title, series, and grade in the designated fields. This information is relevant to your employment context.
8. Select your status by indicating whether you are a VA employee, applicant for employment, or former VA employee.
9. Identify the VA facility where the discrimination occurred by providing the name and address. This helps pinpoint the location of the incident.
10. In the basis section, specify the reasons for your complaint, choosing from the provided list. Be explicit about the grounds for your claim.
11. In the claims section, briefly describe the employment-related claims or incidents that led you to file this complaint. Use additional sheets if needed.
12. Provide the dates of occurrence in the designated field. This is important for establishing the timeline of your complaint.
13. List the remedies you are seeking in the respective section. Be clear about what you hope to achieve through this process.
14. If applicable, indicate whether you have a representative and provide their contact information.
15. Confirm whether you have contacted an EEO Counselor, and if so, provide their name and the date of initial contact.
16. If you've filed a union grievance or an appeal, list the related claims and dates for these actions.
17. Ensure all sections are completed, review your information for accuracy, and make any necessary amendments.
18. Finally, sign and date the form. This step confirms your consent and understanding of the information provided.
19. Once completed, you can choose to save your changes, download, print, or share the form as needed.

Complete your VA 4939 form online today to ensure your voice is heard.