Form 2665-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your full name in the designated field. Ensure you include your last name, first name, and middle initial for clarity.
3. Next, provide your telephone number, including the area code. You can fill in both home and office numbers if applicable.
4. Fill out your address completely, including street, city, state, and ZIP code. This information is crucial for correspondence regarding your complaint.
5. Indicate the federal office you believe discriminated against you. If there are multiple offices involved, prepare a separate complaint form for each.
6. Answer whether you are currently working for the federal government. If yes, complete the additional fields regarding your workplace details.
7. Specify the date of the most recent alleged discrimination using the YYMMDD format to ensure accuracy.
8. Check all applicable boxes that describe why you believe you were discriminated against. Be as specific as possible in detailing your experiences.
9. In the explanation section, provide a detailed account of how you believe discrimination occurred. Include specific incidents and dates if possible.
10. Finally, sign and date the form at the bottom to validate your complaint before submitting it through our platform.

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