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.
Question | Answer |
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Form Name | Da Form 7509 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | da form 7509 fillable, form information inquiry sample, inquiry summary template, form information inquiry pdf |
INFORMATION INQUIRY SUMMARY
For use of this form, see AR
1.DATE OF INITIAL CONTACT (YYYYMMDD)
PRIVACY ACT STATEMENT (5 U.S.C. §552a)
AUTHORITY: |
Public Law |
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 |
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8. TYPE OF CONTACT |
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EEO OFFICER OR STAFF MEMBER |
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EEO COUNSELOR |
TELEPHONIC |
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9.MATTER(s) OF CONCERN IDENTIFIED (Use additional sheets, if required.)
10. CONTACT SUMMARY
Provided general information regarding EEO complaint processing, emphasizing the
OTHER (Explain)
11. |
PRINTED NAME OF EEO OFFICIAL |
12. |
SIGNATURE OF EEO OFFICIAL |
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DATE |
(YYYYMMDD) |
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14. |
PRINTED NAME OF INDIVIDUAL |
15. |
SIGNATURE OF INDIVIDUAL (If available) |
16. |
DATE |
(YYYYMMDD) |
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DA FORM 7509, FEB 2004 |
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APD V1.01 |