Author: Chung
Last saved by: eeo21
Company: EEO 21

EQUAL EMPLOYMENT OPPORTUNITY COMMISSION
  Field Office

, Complainant, v. , Agency | | | EEOC No: Agency No: Date:

DESIGNATION OF REPRESENTATIVE

I, the undersigned Complainant, hereby designate the following individual as my representative in the matter referenced above:

Mr. Chungsoo J. Lee, Federal EEO Specialist
EEO 21, LLC, 275 E. Street Road, #27, Feasterville, PA  19053
(215) 947-0243 (office), (215) 939-5831 (mobile), (215) 947-0343 (fax)
cslee@eeo21.com	        www.eeo21.com 

Complainant Name: |
Address: |
Home Phone No: |
Work Phone No: |
Mobile No: |
Fax No: |
Work Email: |
Home Email: |

CERTIFICATE OF SERVICE

I, the undersigned, have served the foregoing document to the persons indicated below by means indicated below and on the date of signature below: 

Administrative Judge | | By First Class Mail And fax:
The Agency Representative | | By First Class Mail and/or fax:

						___________________________________________________
					Chungsoo J. Lee                                Date
                             			EEO 21, LLC
275 E. Street Road, #27
Feasterville, PA  19053
(215) 947-0243 (office), (215) 939-5831 (cell)
(215) 947-0343 (fax)
cslee@eeo21.com; www.eeo21.com