YOU SEEKING TO RESOLVE THIS COMPLAINT? (State specific corrective action desired for each allegation.) 14. LIST NAME(S) OF WITNESS(ES) AND BRIEFLY STATE WHAT INFORMATION WITNESS MAY CONTRIBUTE TO THE INVESTIGATION OF YOUR COMPLAINT. 15. SIGNATURE OF COMPLAINANT DD FORM 2655, JUN 2012 16. DATE OF THIS COMPLAINT (YYYYMMDD) Page 2 of 3 Pages PRIVACY ACT STATEMENT AUTHORITY: 10 U.S.C. 136; 29 U.S.C. 791, 792, 793, and 795; DoD Directive 1440.1; and E.O. 12106. PRINCIPAL PURPOSE(S): To establis.
Loading
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to fill out the DD 2655 online
This guide provides a clear and comprehensive overview of how to fill out the DD 2655 form online, specifically designed for individuals seeking to file a complaint of discrimination within the federal government. Whether you have experience with legal documents or not, you will find straightforward instructions to assist you.
Follow the steps to complete your DD 2655 form correctly.
- Press the ‘Get Form’ button to access the form and open it in your online editor.
- In Section 1, provide your full name in the format: Last, First, Middle Initial. This is essential for identifying your complaint.
- Enter your telephone number, including the area code. You may provide both home and office numbers in Sections 3a and 3b.
- Indicate the specific federal office that you believe has discriminated against you. If you have multiple complaints against different offices, you need to complete a separate form for each.
- Answer whether you are currently working for the federal government. If 'Yes,' complete Sections 5a, 5b, and 5c with the name of the office and agency, along with the title and grade of your job.
- Decide whether you will have representation for this complaint. You can choose to have an attorney, a non-attorney representative, or no representation at all.
- Fill in the date of the most recent alleged discrimination using the format YYYYMMDD. If you have representation, provide their contact details in sections 7a to 7e.
- Select the reasons why you believe you experienced discrimination. Carefully check all applicable options, including race, color, religion, national origin, sex, age, disability, and other specified categories.
- Detail specifically how you believe you were discriminated against. Describe incidents and provide any additional information on a separate sheet if necessary.
- Indicate if you have discussed your complaint with an Equal Employment Opportunity Counselor by marking ‘Yes’ or ‘No’ in Section 10.
- If applicable, provide the name of the counselor you've spoken with in Section 11.
- State whether the issues identified have been appealed to the Merit Systems Protection Board or filed under a union-negotiated grievance procedure.
- Clearly outline the relief you are seeking to resolve your complaint. State the specific corrective actions you desire for each allegation.
- List the names of any witnesses who may support your case and briefly outline what they can contribute to the investigation.
- Sign the form in Section 15 to validate your complaint.
- Complete the final section by entering the date of this complaint using the YYYYMMDD format. Once you have completed all the relevant sections, you may save changes, download, print, or share the form as needed.
Complete your DD 2655 form online now to ensure your complaint is properly filed.
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
May 28, 2025 — Use the DD Form 2656-2 Survivor Benefit Plan Termination Request to...
Recordings made Sunday, October 14, 2655. No masters documented in discography for this...
Introduction. Thank you for purchasing the YS1000 series single-loop controller...
Get answers to your most pressing questions about US Legal Forms API.
What is the easiest way to get my DD214?
The easiest way to get your DD214 is by using the National Archives' online request portal. By entering your information and submitting your request, you can receive your DD 2655 with minimal hassle. For added convenience, uslegalforms can help ensure you have an efficient experience.
Can I download a copy of my DD214?
Yes, you can download a copy of your DD214 once it is processed by the National Archives. Typically, after your request is approved, you will receive a link to download your DD 2655 directly. If you prefer assistance with the process, uslegalforms provides helpful resources.
How do you get a DD214 PDF?
To obtain a DD214 PDF, you need to request it through the National Archives online portal. After successfully submitting your request, you will receive a downloadable PDF version of your DD 2655. Platforms like uslegalforms can streamline this entire process for you.
How to get DD 214 worksheet?
Getting your DD 214 worksheet is straightforward. You can fill out a request form online through the National Archives or contact your military records office. If you want a more guided experience, consider using uslegalforms to help you acquire your DD 2655 smoothly.
How to get DD214 electronically?
To receive your DD214 electronically, visit the National Archives' eBenefits website. This platform allows veterans to access their documents securely by verifying their identity. With the help of uslegalforms, you can simplify this process and receive your DD 2655 efficiently.
Where do I get my DD214 worksheet?
You can obtain your DD214 worksheet from the National Archives website or by contacting the military branch you served in. Additionally, uslegalforms offers a user-friendly platform that can help you navigate the process of acquiring your DD 2655, ensuring you have all necessary documentation.
How to fill out dd form 362?
Filling out DD form 362 requires you to provide your personal and military information, along with any relevant details related to your request. Careful attention is essential to ensure that all details are precise and complete. If you encounter difficulties, the US Legal Forms platform can offer invaluable templates and resources. Review your entries to confirm accuracy prior to submission.
What is DA form 7923?
DA form 7923 is a document used to request financial assistance for military personnel experiencing hardship. It serves as a formal request to access available support programs. Understanding the purpose of this form is crucial for effectively using it. For detailed assistance and insights, consider exploring the US Legal Forms platform.
How to fill out a DD application form?
To fill out a DD application form, collect all necessary information related to your military service and personal identification. The instructions on the form will guide you through the specific details you need to provide. Utilizing resources from the US Legal Forms platform can enhance your understanding and provide examples. Always double-check your entries to avoid any mistakes.
How to fill out a DD form 518?
Filling out a DD form 518 involves entering specifics about your transportation and travel requirements. Start by providing your name, service number, and applicable travel dates. If you face challenges, the US Legal Forms platform can provide templates and examples to simplify your experience. It’s important to be thorough, as this helps prevent processing delays.
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.