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Get DD Form 2655 1993-2024

COMPLAINANT (Last, First, Middle Initial) 2. TELEPHONE NUMBER (Include Area Code) 3. ADDRESS (Street, City, State, and ZIP Code) a. HOME ( ) b. OFFICE ( ) 4. FEDERAL OFFICE YOU BELIEVE DISCRIMINATED AGAINST YOU (Prepare a separate complaint form for each office which you believe discriminated against you.) 5. ARE YOU NOW WORKING FOR THE FEDERAL GOVERNMENT? (If answer is "Yes" complete a, b, and c below.) a. NAME OF OFFICE THAT YOU BELIEVE DISCRIMINATED AGAINST YOU a. NAME OF AGENCY WHE.

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