Voluntary, however, failure to provide requested information for inclusion on the form may lead to dismissal of a subsequent complaint for failure to provide adequate information to process.
Calendar day: the 45th calendar day after the event (item 10) and the 30th (item 13) and 90th (item 14) calendar day after initial contact with the EEO official.
Late contact: item 11 is the reason for delayed contact beyond 45 days, if applicable.
Matters giving rise to complaint: specify who, what, where, and when. Use additional sheet of paper if necessary.
Signature: the aggrieved must sign and date.
| Question | Answer |
|---|---|
| Form Name | DA Form 7510 |
| Form Length | 5 pages |
| Fillable? | Yes |
| Fillable fields | 117 |
| Avg. time to fill out | 20 min |
| Edition | JUL 2024 |
| Proponent agency | ASA (M&RA) (AR 690-600) |
| Who signs | The aggrieved, the EEO counselor and the EEO officer |
| Other names | DA Form 7510, DA 7510, DA7510, Form 7510, 7510, EEO Counselor's Report |
| Official source | DA Form 7510 (Rev JUL 2024), ASA (M&RA) |
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