Get Doj Bp-a.176 2010-2025

The DoJ BP-A.176 is a formal grievance form used within the Federal Bureau of Prisons. This guide will provide you with detailed steps to complete the form accurately and effectively online.

Follow the steps to fill out the DoJ BP-A.176 online easily.

1. Click the ‘Get Form’ button to obtain the document and open it in your editing interface.
2. In the first section, 'Grievant(s)', provide the names of the individuals making the grievance. This may include yourself and any other relevant parties.
3. Enter the 'Duty Station' where the grievance occurred. This should reflect your work location or the relevant facility.
4. If applicable, fill in 'Representative of Grievant(s)'. This is the person who is assisting you in filing the grievance.
5. In section 'Informal resolution attempted with (name Person)', specify the individual with whom you initially attempted to resolve the issue informally.
6. Under 'Federal Prison System Directive, Executive Order, or Statute violated', indicate the specific regulations or laws that you believe have been breached.
7. Describe in 'In what way were each of the above violated? Be specific.' the circumstances surrounding the violations noted in the previous field.
8. In the 'Date(s) of violation(s)' section, enter the relevant dates when the violations occurred.
9. In the 'Request remedy (i.e., what you want done)' field, clearly state what outcome or changes you are seeking as a result of this grievance.
10. Indicate the 'Person with whom filed' to show who will be handling the grievance.
11. Fill in the 'Title' of the person receiving the grievance, as applicable.
12. Both you and the representative must sign in 'Signature of recipient' and 'Signature of Grievant(s)' respectively, confirming the submission of the form.
13. Ensure you date the form in the 'Date signed' section.
14. Finally, review all entries for accuracy, then save your changes, download, print, or share the completed document as needed.

Complete your grievance form online today for a streamlined resolution process.