COMPLAINT OF POSSIBLE VIOLATION OF
THE UNIFORMED SERVICES EMPLOYMENT AND REEMPLOYMENT RIGHTS ACT
(USERRA) |
INFORMATION ABOUT FILING A USERRA COMPLAINT WITH OSC
This complaint form may be used to file
complaints alleging violations of The Uniformed Services
Employment and Reemployment Rights Act of 1994 (USERRA), 38
U.S.C. § 4301 et seq., by federal employees or applicants for
federal employment. While it is not required that this complaint
form be used, use of this form will be helpful to OSC in
expediting the processing and investigating of complaints.
Please complete the information requested below as fully and
accurately as possible.
SEND COMPLETED COMPLAINT FORMS TO:
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By Mail: |
USERRA Unit |
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Office of Special Counsel |
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1730 M Street, N.W. (Suite 218) |
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Washington, DC 20036-4505
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By Fax: |
(202) 653-5151
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Electronically: |
WWW.OSC.GOV
(AT "FILE COMPLAINTS ONLINE") |
PLEASE KEEP A COPY OF
YOUR COMPLAINT, ANY SUPPORTING DOCUMENTATION, AND ANY ADDITIONAL
ALLEGATIONS SENT IN WRITING TO OSC NOW, OR AT ANY TIME WHILE
YOUR COMPLAINT IS PENDING.
REPRODUCTION CHARGES UNDER THE FREEDOM OF
INFORMATION ACT MAY APPLY TO ANY REQUEST YOU
MAKE FOR COPIES OF MATERIALS THAT YOU PROVIDED TO
OSC.
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INFORMATION ABOUT USERRA
USERRA prohibits discrimination against persons because of their
service in the Armed Forces, Armed Forces Reserve, the National Guard,
and other uniformed services. USERRA prohibits an employer from denying
any benefit of employment on the basis of an individual’s membership,
application for membership, performance of service, application for
service, or obligation for service in the uniformed services. USERRA
also protects the employment and reemployment rights of service members
who are absent from their civilian employment due to military service or
training.
Pursuant to a demonstration project established by the Veterans Benefits
Improvement Act of 2004 (P.L. 108-454), OSC, rather than the Department
of Labor’s Veterans Employment and Training Service, has authority to
investigate federal sector USERRA claims brought by persons whose social
security number ends in an odd-numbered digit (1,3,5,7, or 9).
Furthermore, regardless of a person’s social security number, OSC has
the authority to investigate all federal sector USERRA claims
containing a related prohibited personnel practice allegation over which
OSC has jurisdiction. (Please visit
www.osc.gov and click on the “Prohibited Personnel Practices” link
to learn more about personnel practices that are prohibited in the
federal workplace.)
OSC is administering the demonstration project, which began on February
8, 2005, and ends on September 30, 2007.
If you have any questions about filling out this form or filing a USERRA
complaint with OSC, please contact OSC’s USERRA Unit by telephone at
(202) 254-3620 or via e-mail at
USERRA@osc.gov.
VISIT WWW.OSC.GOV
FOR MORE INFORMATION ABOUT USERRA |
U.S. OFFICE OF SPECIAL COUNSEL
(202) 254-3620
COMPLAINT OF POSSIBLE VIOLATION OF USERRA
Page 2 of 8
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COMPLAINT OF POSSIBLE VIOLATION OF USERRA
(Please print legibly or type and complete all pertinent items. Enter "N/A" (Not Applicable) or "Unknown" where appropriate.
If more room is needed, use Continuation Sheet.)
PART 1:
COMPLAINANT INFORMATION |
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