Form Da 2590 R PDF Details

For those who are not familiar with it, the IRS Form 2590 is a document used to report information about Rental Real Estate activity. It is important to be aware of what this form entails, and how to correctly complete it, as it can affect your tax filing status. In this blog post, we will break down everything you need to know about Form 2590 R, including what is required on the form, and where to find additional help if needed. Let's get started!

QuestionAnswer
Form NameForm Da 2590 R
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesda 2590 have, eeoo name color printable, eeoo code interview, da 2590 00 printable

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FORMAL COMPLAINT OF DISCRIMINATION

 

 

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

 

 

 

 

 

PRIVACY ACT STATEMENT (6 USC 552a)

 

 

 

Authority:

Public Law 92-261.

 

Principle Purpose:

Formal filing of allegation of discrimination because of race, color, religion, sex, handicap, age, national origin or reprisal.

Routine Uses:

This form and the information on this form may 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 and may also be used to

 

 

respond to general requests for information under the Freedom of Information Act; (b) to respond to requests from legitimate

 

 

outside individuals or agencies (e.g., Members of Congress, The White House, and the Equal Employment Opportunity

 

 

Commission (EEOC) regarding the status of the complaint or appeal; and (c) to adjudicate complaint or appeal.

Disclosure:

Voluntary; however, failure to complete all appropriate portions of this form may lead to rejection of complaint on the basis of

 

 

 

 

inadequate data on which to determine if complaint is acceptable.

 

 

 

1.

NAME OF COMPLAINANT (Last, First, Middle Initial)

4. ADDRESS (Include City, State, and ZIP Code)

2.SSN

3b.

HOME TELEPHONE NO.

3a.

WORK TELEPHONE NO.

 

 

 

 

 

 

 

 

5.

ARE YOU BEING REPRESENTED?

 

5c.

IF YES, NAME OF REPRESENTATIVE

 

a. Yes (Complete 5c)

 

b. No

 

 

 

 

 

 

6a.

NAME OF ARMY ORGANIZATION YOU BELIEVE DISCRIMINATED

6b.

ADDRESS OF ALLEGED DISCRIMINATION ORGANIZATION (Include City, State, and

 

AGAINST YOU

 

 

 

ZIP Code)

7.MAJOR ARMY COMMAND OF ACTIVITY YOU BELIEVE DISCRIMINATED AGAINST YOU

8.DATE ON WHICH MOST RECENT ALLEGED DISCRIMINATION OCCURRED

9.ARE YOU WORKING FOR THE FEDERAL GOVT.?

a. Yes (Complete items 10, 11 and 12)

b. No (Skip to item 13)

10.NAME OF AGENCY WHERE YOU ARE CURRENTLY EMPLOYED

11.ADDRESS OF YOUR CURRENT EMPLOYER (Include City, State, and ZIP Code)

12a. TITLE OF YOUR CURRENT JOB

12b. GRADE

13. Reason you believe you were discriminated against (Check Below).

a.RACE (State your Race)

b.COLOR (State your Color)

c.RELIGION (State your Religion)

d.NATIONAL ORIGIN (State Natl. Origin)

e. HANDICAP

 

 

Mental

Physical

f.

SEX

 

 

Female

Male

g.AGE (Specify Age)

h.REPRISAL

14.I HAVE DISCUSSED MY COMPLAINT WITH AN EEO COUNSELOR (See Reverse)

a. Yes (Complete 14c)

b. No

14c. IF YES, NAME OF COUNSELOR

15.DATE OF FINAL INTERVIEW

16.EXPLAIN SPECIFICALLY HOW YOU WERE DISCRIMINATED AGAINST (That is, treated differently from other employees or applicants, because of your race,

color, religion, sex, national origin, age, mental or physical handicap, or reprisal.) (If your complaint involves more than one basis for your dissatisfaction, list and number each such allegation separately and furnish specific, factual information in support of each.) (Use additional sheets, if necessary.)

Allegation No. 1:

17.LIST IN ITEM 20 THE NAMES OF YOUR WITNESSES AND WHAT FACTUAL INFORMATION EACH WILL BE EXPECTED TO CONTRIBUTE THROUGH HIS/HER TESTIMONY TO THE INVESTIGATION OF YOUR COMPLAINT.

18.WHAT SPECIFIC CORRECTIVE ACTION DO YOU WANT TAKEN ON YOUR COMPLAINT? (If more than one allegation is being made, state overall corrective action desired and the specific corrective action desired for each separate allegations.)

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DA FORM 2590-R, DEC 85 IS OBSOLETE

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19.HAVE THE MATTERS LISTED IN ITEM 16 BEEN APPEALED TO THE MERIT SYSTEM PROTECTION BOARD OR FILED UNDER A NEGOTIATED GRIEVANCE PROCEDURE?

a. Yes (Explain in item 20)

b. No

20.REMARKS

21.SIGNATURE OF COMPLAINANT

22.DATE THIS COMPLAINT FORM WAS SIGNED BY THE COMPLAINANT (Month, day, year)

To be Completed by the Organization's EEOO

I certify that: (1) The complainant has reaffirmed this complaint in my presence and has stated that the facts contained therein are true to the best of his/her knowledge; (2) a determined effort at informal resolution of this complaint failed to produce a solution satisfactory to the complainant; and (3) local management in the appropriate change of command has been informed concerning the complaint and its submission in the above format.

23.SIGNATURE OF EEOO

24a. TYPED NAME AND TITLE OF EEOO

24b. ADDRESS OF EEOO

25.DATE COMPLAINT FILED WITH EEOO

26.TELEPHONE NO. OF EEOO PROCESSING COMPLAINT

The matter(s) giving rise to the complaint will be coded using one or more of the following codes:

CATEGORY

CODE

CATEGORY

CODE

CATEGORY

CODE

 

 

 

 

 

 

Appointment

(1)

Training

(9)

Reprisal

(17)

Promotion

(2)

Time & Attendance

(10)

Pay, Including Overtime

(18)

Reassignment

(3)

Retirement

(11)

Conversion to Full Time/

 

Separation/Termination

(4)

Assignment of Duties

(12)

Career Conditional

(19)

Suspension

(5)

Exam/Test

(13)

Reinstatement

(20)

Reprimand

(6)

Work Conditions

(14)

Awards

(21)

Evaluation/Appraisal

(7)

Harassment

(15)

And/Or Other (Specify)

(22)

Duty Hours

(8)

Sexual Harassment

(16)

 

 

 

 

 

 

 

 

27.Enter Code(s) for Matter(s) Giving Rise to the Complaint

INFORMATION CONCERNING THE PROCESSING OF YOUR COMPLAINT OF DISCRIMINATION

This form will be used only if you, as an Army employee or as an applicant for Federal employment, think you have been treated unfairly because of your race, color, religion, sex, national origin, age, mental or physical handicap, or reprisal. If you have any questions concerning the completion of this form, you may contact the Equal Employment Opportunity Officer (EEOO) at your activity.

Your written, formal complaint must be filed within 15 calendar days of the date of your final interview with the EEO counselor. If the matter has not been resolved to your satisfaction within 21 calendar days of your first interview with the EEO counselor and the final counseling interview has not been completed within that time, you have a right to file a complaint at any time thereafter up to 15 days after the final interview. Your written formal complaint must be filed within 15 calendar days of the date of your final interview with the EEO counselor. This time limit may be extended if you can give a good reason for not submitting the complaint within the 15 calendar day limit.

You may have a representative at all stages of the processing of your complaint. You or your representative should personally file your complaint with the EEOO of your activity.

If your complaint is accepted, you will have an opportunity to talk with an investigator from the U.S. Army Civilian Appellate Review Agency and to give him or her all the facts you have which you believe will support your complaint. If your complaint is rejected, you will be advised in writing of the reason(s) and advised of the right to appeal. Upon completion of the investigation of your complaint, you will receive a copy of the investigator's report and an attempt will be made to resolve the complaint then.

If your complaint cannot be settled informally on the basis of the investigation, you may request a review of your record by the Department of the Army Director of Equal Employment Opportunity, or you may request a hearing at this stage. If a hearing is requested, it will be conducted by an administrative judge designated by the EEOC. The findings, analysis, and recommendations will be forwarded to the Director of EEO for decision. You will be advised by the Director of the decision and provided a copy of the case record.

If you are not satisfied with the Director's decision, you will have the right to appeal to the Office of Review and Appeals of the EEOC, P.O. Box 19848, Washington, D.C. 20036, within 20 calendar days after receipt of the decision.

Please be specific in stating the facts concerning your complaint in items 15 through 19.

REVERSE, DA FORM 2590-R, AUG 89

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