Form 201a form 2026

1. Click ‘Get Form’ to open the form 201a in the editor.
2. 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.
3. Provide your email address and telephone number, including area code. This will facilitate communication regarding your complaint.
4. Indicate which Department of Justice Office you believe discriminated against you by selecting from the options provided.
5. Fill in your current work address, including the agency name and street address. Be sure to include city, state, and zip code.
6. Specify the date when the most recent alleged discrimination took place by filling in day, month, and year.
7. Check all applicable boxes that describe why you believe you were discriminated against. Provide additional details where necessary.
8. In the section explaining how you were discriminated against, provide a clear account of your experience. You may continue on another sheet if needed.
9. State what corrective action you wish to be taken regarding your complaint.
10. Finally, sign and date the form at the bottom to validate your submission before sending it off for processing.

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