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The document is a VA Form 4939, used for filing complaints of employment discrimination by VA employees, former employees, and applicants. It outlines the necessary information required to submit a formal complaint under the Equal Employment Opportunity Commission regulations, including personal details, basis for discrimination claims, dates of occurrence, and remedies sought. The form emphasizes the importance of timely filing and provides instructions on representation and privacy considerations.

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2017	4.9 Satisfied (223 Votes)
2012	4.1 Satisfied (57 Votes)

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What is the VA form for retroactive payments?

Submit an intent to file (VA Form 21-0966) When you notify us of your intent to file, you may be able to get retroactive payments (payments for the time between when you submitted your intent to file and when we approved your claim).

What is the VA form for test reimbursement?

Use VA Form 22-0803 when you want to use your VA education benefits to get paid back for licensing and certification tests.

What is VA form 4939?

1614, VA Form 4939, Complaint of Employment Discrimination, can be used by VA employees, former employees and applicants for employment who file a formal Equal Employment Opportunity (EEO) complaint of discrimination.

What is VA form 22 5490?

Use VA Form 21-4502 if youre a Veteran with a disability and you want to apply for compensation for a vehicle that meets your needs. This may include a specially equipped vehicle for you to drive or adaptive equipment to help you get in and out of your vehicle.

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