Appendix 10





CERTIFIED MAIL
RETURN RECEIPT REQUESTED
 

In Reply Refer to:
(Docket Number)
 

Address
 

Dear Addressee:

This letter is to acknowledge receipt of your complaint of discrimination filed against the Department of the Interior, (Bureau) on (postmark/filing date) . Your complaint has been assigned docket number (XXX-XX-XXX) . Please refer to this docket number in all future correspondence regarding your complaint.

If your complaint is accepted, it will be processed in accordance with Title 29, Code of Federal Regulations (C.F.R.), Part 1614 which govern the processing of Federal sector discrimination complaints. You will be advised, in writing, in the near future, of the claims identified in your complaint that will be investigated and provided further information on the administrative process.

If you obtain a representative and have not already done so, you must notify this Office, in writing, of your designation of a representative. Your representative may act on your behalf in all matters pertaining to your complaint. However, in the event that you withdraw your complaint or reach a Settlement Agreement, you must personally sign a notice of withdrawal or agreement.

Should you have any further questions, please contact this office at (telephone number) .
 

                                                                                      Sincerely,
 
 

                                                                                      Bureau/Office Equal Opportunity Officer
 

cc: Complaint File