Da Form 7509 PDF Details

The Da 7509 form serves as a critical tool within the structure of the Department of the Army, providing a standardized method for filing and documenting complaints of discrimination. This important document is governed by the guidelines set forth in AR 690-600, operating under the authority of Public Law 92-261, and stands as a testament to the commitment of the Department of the Army to uphold principles of equality and fairness among its civilian employees, former employees, applicants for employment, and some contract employees. Structured to capture detailed information about incidents of discrimination based on race, color, religion, sex, national origin, age, physical or mental disability, and/or reprisal, the form is both a record-keeping tool and a pivotal step in the complaint resolution process. The form is meticulously designed to collect contact details, the nature of concerns raised, and the specifics of interactions with Equal Employment Opportunity (EEO) officials, providing a comprehensive summary that supports the investigation and resolution process. With sections that emphasize the right to representation and outline the communication with EEO officials, the DA 7509 form underscores the Army's dedication to a transparent, responsive EEO complaint process, encapsulating both the procedural rigor and the importance of timeliness, as highlighted by the 45-calendar day window to initiate the EEO complaint process. Additionally, it highlights the form's role in generating meaningful data for analysis and reporting, thereby contributing to ongoing efforts to foster an inclusive work environment.

QuestionAnswer
Form NameDa Form 7509
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesda form 7509 fillable, form information inquiry sample, inquiry summary template, form information inquiry pdf

Form Preview Example

INFORMATION INQUIRY SUMMARY

For use of this form, see AR 690-600; the proponent agency is OSA

1.DATE OF INITIAL CONTACT (YYYYMMDD)

PRIVACY ACT STATEMENT (5 U.S.C. §552a)

AUTHORITY:

Public Law 92-261

PRINCIPAL PURPOSE: Used for processing of complaints of discrimination because of race, color, religion, sex, national origin, age, physical or mental disability, and/or reprisal by Department of the Army civilian employees, former employees, applicants for employment, and some contract employees.

ROUTINE USES:Information will be used (a) as a data source for complaint information for production of summary descriptive statistics and analytical studies of complaints processing and resolution efforts (b) to respond to general requests for information under the Freedom of Information Act; (c) to respond to requests from legitimate outside individuals or agencies (White House, Congress, Equal Employment Opportunity Commission) regarding the status of an EEO complaint or appeal; or (d) to adjudicate complaint or appeal.

DISCLOSURE:Voluntary, however, failure to complete all appropriate portions of the form may lead to delay in processing and/or

rejection of complaint on the basis of inadequate data on which to continue processing.

2.NAME (Last, First, Middle Initial)

3.DUTY ORGANIZATION (Complete address including office symbol)

4. WORK TELEPHONE NUMBER

5. HOME TELEPHONE NUMBER

6. HOME ADDRESS

7. EEO OFFICIAL CONTACTED

 

8. TYPE OF CONTACT

 

 

 

 

 

EEO OFFICER OR STAFF MEMBER

 

 

 

 

 

 

EEO COUNSELOR

TELEPHONIC

 

IN-PERSON

 

E-MAIL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.MATTER(s) OF CONCERN IDENTIFIED (Use additional sheets, if required.)

10. CONTACT SUMMARY

Provided general information regarding EEO complaint processing, emphasizing the 45-calendar day prescribed time limitation for Initiating the EEO complaint process and right to representation during the EEO process, including the pre-complaint intake interview.

OTHER (Explain)

11.

PRINTED NAME OF EEO OFFICIAL

12.

SIGNATURE OF EEO OFFICIAL

13.

DATE

(YYYYMMDD)

 

 

 

 

 

 

 

14.

PRINTED NAME OF INDIVIDUAL

15.

SIGNATURE OF INDIVIDUAL (If available)

16.

DATE

(YYYYMMDD)

 

 

 

 

 

 

DA FORM 7509, FEB 2004

 

 

 

 

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