On, or Physical and/or Mental Disability) (See Reverse for Instructions) 2. COMPLETE HOME ADDRESS: Street Address, RD, or P.O. Box: 1. COMPLAINANT’S FULL NAME 3. BUSINESS TELEPHONE: (Include Area Code) City, State, Zip Code: 4. HOME TELEPHONE: (Include Area Code) 5A. OFFICE YOU BELIEVE DISCRIMINATED AGAINST YOU: 6A. ARE YOU PRESENTLY WORKING FOR THE FEDERAL GOVERNMENT? YES (Answer B, C, and D Below) NO (Continue with Question 7) B. ADDRESS: (Include Street, City, State, Zip Code) B. A.
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How to fill out the DOE Form 1600 1 online
The DOE Form 1600 1 is used by individuals to file complaints of discrimination within the U.S. Department of Energy. This guide will provide users with clear, step-by-step instructions on how to complete this important form online, ensuring all necessary details are accurately captured.
Follow the steps to complete the DOE Form 1600 1 online.
- Click the ‘Get Form’ button to obtain the form and open it in the editor.
- Fill in the complainant's full name in the first field provided. Ensure that your name is written clearly.
- Complete the home address section with your street address, including city, state, and zip code.
- Enter your business telephone number, including the area code, in the designated field.
- Provide your home telephone number, also including the area code.
- In the next section, specify the office you believe discriminated against you.
- Indicate whether you are currently working for the federal government by selecting 'Yes' or 'No'. If 'Yes', fill in the agency where you work and the address.
- Provide the name and title of the person or persons you believe discriminated against you, alongside their agency address.
- State the date of the most recent alleged discrimination, ensuring to enter the month, day, and year.
- Check the appropriate reasons you believe you were discriminated against from the list provided.
- In the explanation section, describe how you believe you were discriminated against, including specific incidents and dates.
- If applicable, confirm whether you have discussed your complaint with an equal employment opportunity counselor.
- Indicate the corrective action you are seeking and specify if you are claiming compensatory damages.
- Fill in the date of this complaint, ensuring to follow the format of month, day, and year.
- Finally, sign your name to complete the form.
- Once all fields are filled out, save your changes, download the form, print it if necessary, or share it as needed.
Complete your documents online today to ensure efficient processing of your complaint.
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