Home
Forms Library
Form 201a

Form 201a form 2026

See details

4.8 out of 5

122 votes

The document is a complaint form for individuals alleging discrimination by a federal agency based on various factors such as race, color, sex, religion, national origin, age, disability, genetic information, sexual orientation, gender identity, parental status, or reprisal. It outlines the process for filing a complaint with the Equal Employment Opportunity (EEO) office and includes instructions on how to provide necessary information for an investigation. The form emphasizes the importance of timely submission and provides details on potential corrective actions and rights during the complaint process.

Here's how it works

01. Edit your form 201a online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send 201a form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out form 201a form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the form 201a in the editor.
Begin by entering your full name, city, state, and zip code in the designated fields. Ensure accuracy as this information is crucial for your complaint.
Provide your email address and telephone number, including area code. This will facilitate communication regarding your complaint.
Indicate which Department of Justice Office you believe discriminated against you by selecting from the options provided.
Fill in your current work address, including the agency name and street address. Be sure to include city, state, and zip code.
Specify the date when the most recent alleged discrimination took place by filling in day, month, and year.
Check all applicable boxes that describe why you believe you were discriminated against. Provide additional details where necessary.
In the section explaining how you were discriminated against, provide a clear account of your experience. You may continue on another sheet if needed.
State what corrective action you wish to be taken regarding your complaint.
Finally, sign and date the form at the bottom to validate your submission before sending it off for processing.

Start using our platform today to fill out form 201a easily and for free!