Get U.s. Dod Form Dod-dd-2655. Free Download

This guide provides detailed instructions on how to successfully complete the U.S. DOD Form Dod-dd-2655, which is used for filing a complaint of discrimination in the federal government. Understanding each section of the form is crucial for ensuring accurate submission.

Follow the steps to fill out the form effectively.

1. Press the ‘Get Form’ button to obtain the form and open it in your PDF viewer or editor.
2. In section 1, enter the full name of the complainant, including last name, first name, and middle initial. Ensure accuracy to avoid delays in processing.
3. Provide a telephone number in section 2, including the area code for ease of contact.
4. In section 3, fill out the address details comprising street, city, state, and ZIP code. Include both home and office addresses, if applicable.
5. Section 4 requires you to specify the federal office you believe discriminated against you. If there are multiple offices, prepare a separate complaint for each.
6. Answer section 5 regarding your current employment status with the federal government. If 'Yes,' provide the name and address of the office that discriminated against you, along with details about your job title and grade.
7. If you have a representative, complete section 6 with their name and address.
8. Document the date of the most recent alleged discrimination in section 7, following the specified format (YYMMDD).
9. In section 8, check all applicable reasons for discrimination, such as race, color, religion, and others. Provide detailed explanations if required.
10. Section 9 requires a description of how you believe you were discriminated against. Be specific about the incidents and their timing.
11. Indicate whether you have discussed your complaint with an Equal Employment Opportunity Counselor in section 10 and provide their name if applicable.
12. State in section 12 the corrective action you are seeking as a result of the discrimination.
13. Sign the form in section 13 and include the date of submission in section 14.
14. After filling out the form, save any changes, download, print, or share the form as necessary.

Complete your form online and ensure your complaints are addressed properly.