EEOC Forms:
➤ EEOC Charge Form (5)
- Note: For private employment discrimination case only; not for federal employment case.
➤ Request for an EEOC Hearing Form
- Appendix N EEO-MD-110, for federal case only, to be sent after receiving the Report of Investigation (ROI). See Federal EEO process for more information
➤ Designation of Representative for EEOC hearing
- For establishing contact with EEO Counselor to file discrimination complaint in federal employment and for notifying your representative.
➤ Medical Questionnaire on Disabilities
- A sample to be sent to your doctor to verify your disabilities.
➤ Authorization to Release Medical Information
- A blank form to be used to request medical document from your doctor.
OFO Forms:
➤ Notice of Appeal/Petition to Office of Federal Operations (EEOC Form 573)
- To appeal the Final Agency Decision (FAD) to the Office of Federal Operations (OFO) in DC (only for federal employment case; see federal EEO process for more information)
➤ A Sample of OFO appeal brief
- To be submitted with or within 30 days after submitting Notice of Appeal/Petition to Office of Federal Operations)
Disclaimer
- Mr. Lee is not an attorney but can represent clients in federal administrative processes, including EEOC hearings and MSPB hearings.
- Mr. Lee does not practice law and cannot provide attorney-client protection privileges. However, as any union shop steward can, Mr. Lee can represent federal employees at any administrative proceeding including those referenced above.
- Mr. Lee cannot and does not represent clients at court proceedings.