Form 16001 form 2025

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4.8 out of 5

82 votes

The document is a complaint form (DOE F 1600.1) used by employees or applicants of the U.S. Department of Energy to report discrimination based on race, color, religion, sex, age, national origin, retaliation, or physical and/or mental disability. It outlines the necessary information to be provided by the complainant, including personal details, specifics of the alleged discrimination, and instructions for filing a complaint within designated time limits. The form also includes guidance on seeking assistance and the process for investigation and appeal.

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Click ‘Get Form’ to open the form 16001 in the editor.
Begin by entering your full name in the designated field at the top of the form. This is essential for identifying your complaint.
Next, provide your complete home address, including street address, city, state, and zip code. Accurate information ensures proper communication.
Fill in your business and home telephone numbers, including area codes. This allows for easy contact regarding your complaint.
Indicate whether you are currently employed by the federal government. If yes, complete the additional fields regarding your agency and any individuals involved.
Check all applicable reasons for discrimination from the provided list. Be specific about your race, age, or other relevant factors.
In the explanation section, detail how you believe you were discriminated against. Include dates and incidents as necessary.
Finally, sign and date your complaint at the bottom of the form to validate it before submission.

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Versions	Form popularity	Fillable & printable
1996	4.8 Satisfied (82 Votes)

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