Ngb Form 333 – Fill Out and Use This PDF

Ngb Form 333 PDF Details

Form Preview Example

How to Edit Ngb Form 333 Online for Free

Ngb Form 333 isn’t the one you’re looking for?

Related Documents

Ngb Form 333 – Fill Out and Use This PDF

The NGB Form 333 is designed for use by members of the Army and Air National Guard to document and file complaints of discrimination based on race, color, national origin, religion, sex-gender, or sexual orientation, including allegations of sexual harassment or reprisal for previous discrimination complaints. This form acts as a vital tool for ensuring concerns are officially addressed and resolved within the organizational structure of the National Guard. If you believe you have faced discrimination and wish to take action, click the button below to learn more about how to properly fill out and submit the NGB Form 333.

Get Form Now Download PDF

Ngb Form 333 PDF Details

At the core of maintaining fair treatment and equality within the Army and Air National Guard stands the NGB Form 333, a document meticulously designed to address allegations of discrimination. Dedicated to Army and Air National Guard members serving in Title 32 status, including National Guard technicians in a military pay status, this form embarks on capturing details necessary for lodging a discrimination complaint. Whether the discrimination is based on race, color, national origin, religion, sex, gender, sexual orientation, or stems from retaliation against those who have earlier engaged in discrimination complaint processes, this form provides a structured pathway for voicing concerns. Prompting complainants to file within 180 days from the incident, it subtly underlines the seriousness with which the National Guard tackles such issues. By requiring detailed information about the complainant, the accused, and the nature of the discrimination or harassment, the form is thorough in its approach to ensure that every grievance is heard and addressed appropriately. Moreover, the accompanying instruction to submit this form to one’s EO State Representative or unit commander highlights the importance of following proper channels to seek justice, reinforcing the National Guard’s commitment to maintaining an environment where every member’s rights are protected.

Question	Answer
Form Name	Ngb Form 333
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	ngb 333, form complaint national guard, form 333 national, ngb form 333

Form Preview Example

Page 1 of 4

Discrimination Complaint in the Army and Air National Guard	(SEEM Use Only)			Filing State/Territory:
Discrimination Complaint in the Army and Air National Guard	(SEEM Use Only)
For use of this form see CNGBM 9601.01, the proponent agency is NGB-EO.	NGB Case Tracking Number:
	NGB Case Tracking Number:

PRIVACY ACT STATEMENT		IRR	Date: _________________
Authority: 42 U.S.C., Chapter 21, Subchapter V

		FRR	Date: _________________
Principal Purpose: To document allegations of discrimination in the National Guard (NG)

		ADR	Date: _________________
Routine Uses: None

Disclosure: Voluntary. However, failure to complete all portions of this form could affect the timely processing, or result in the rejection or dismissal of your complaint.

INSTRUCTIONS

PART I - TO BE COMPLETED BY COMPLAINANT

Submit to Your EO State Representative

All NG members serving in Title 32 status, to include NG technicians in a military pay status who believe they have been discriminated against based on race, color, national origin, religion, sex-gender, or sexual orientation, or who believe they have been the victim of sexual harassment, or of reprisal for prior engagement in the discrimination complaint process or related activity, may file a request to resolve discrimination allegations.

You are encouraged to discuss the complaints with and to seek assistance from your immediate supervisor, unit commander, members of the chain of command or EO office staff. Fill out Part I of this form and file the complaint within 180 days of the date of the alleged discrimination or the date that you became aware of the discriminatory event or action. The complaint should be filed with the unit commander (if the commander is not the alleged discriminating official) or with your unit EO representative. You may file with any other commander in the chain of command, the Adjutant General, the National Guard Bureau, or Inspector General Office. However, regardless of where the complaint is filed, it will be referred to the lowest applicable command level for action.

1. COMPLAINANT

a.NAME (Last, First, MI)

b. RANK

c. COMPONENT (ARNG/ANG)

d. POSITION

2.SEX-GENDER (M/F)

3. RACE

4. NATIONAL ORIGIN

5. HOME ADDRESS (Including Zip Code)

6. TELEPHONE NUMBERS

a. BUSINESS

b. HOME

7. ACTIVITY OR UNIT IN WHICH ALLEGED DISCRIMINATION OCCURRED

8. ARE YOU

(Check One)

PART TIME MILITARY MEMBER

AGR TITLE 32/ADOS TITLE 32

APPLICANT FOR NG/AGR MEMBERSHIP

FORMER MILITARY MEMBER

BENEFICIARY OF NG

9.ALLEGED DISCRIMINATING OFFICIAL (ADO)

a. NAME (Last, First, MI)

b.RANK/TITLE

11. CHECK BELOW THE BASIS (Reasons) FOR ALLEGED DISCRIMINATION

RACE (Check Your Race)

Black or African American

White

American Indian/Alaska Native

C COLOR (State Your Color)

L RELIGION (State Your Religion)

SEX-GENDER (Sexual Harassment) (Check Your Gender)

Male

Female

SEXUAL ORIENTATION (Specify)

Asian Native Hawaiian/Pacific Islander

O REPRISAL (Based Upon EO Activity)

N NATIONAL ORIGIN (State Your National Origin or National Group) (Specify)

Yes

NGB FORM 333, 20171128

Page 2 of 4

12. CHECK FOR SPECIFIC ALLEGATIONS AND ISSUES

Appointment/Enlistment	Evaluation/Appraisal	Reassignment
Assignment of Duties	Harassment	Retirement
Assignment of Duties	Harassment	Retirement
Awards/Decorations	a. Non-Sexual	Time and Attendance
Awards/Decorations	a. Non-Sexual	Time and Attendance
Disciplinary Action	b. Sexual	Training/Education
Disciplinary Action	b. Sexual	Training/Education

Duty Hours	Promotion/Non-Selection	Other

13.STATE ALLEGATION AND ISSUES (Explanations, background, and evidence can be attached as supporting material; they are NOT issues.)

Issues: A. Number each issue.

B. Briefly list the alleged act of discrimination, the basis, and the date(s) it took place.

C. Indicate the name(s) of the alleged discriminating official(s) (ADO).

SAMPLE: I was discriminated against on (date) on the basis of (Race, Religion, or other basis) when (name the ADO) and briefly list the discriminatory event(s) or personnel action(s). Attach additional blank sheets, if necessary.

14. WHAT CORRECTIVE ACTION DO YOU WANT TAKEN TO RESOLVE YOUR COMPLAINT?

15a. SIGNATURE OF COMPLAINANT

15b. DATE

16. OFFICIAL RECEIVING COMPLAINT

a. NAME

b. TITLE

c. SIGNATURE

d. DATE

NGB FORM 333, 20171128

Page 3 of 4

PART II - COMPLAINT MANAGEMENT PROCESSING

TO BE COMPLETED AT THE LOWEST APPLICABLE COMMAND LEVEL

COMPLETE AS APPROPRIATE

1. WHEN DID YOU RECEIVE THE COMPLAINT?

DATE (YYYY/MM/DD)

2. WAS THE COMPLAINT

Accepted

All

In Part

Referred

All

In Part

TO WHOM?

Dismissed

All

In Part

(State Reason)

3.AFTER REVIEW OF THE LEADERSHIP INQUIRY REPORT I FIND THAT YOUR ALLEGATIONS ARE:

Substantiated

Unsubstantiated

Discrimination Undetermined

4.DID YOUR NOTICE OF PROPOSED RESOLUTION (NPR) CONCUR WITH THE FINDINGS OF

THE INQUIRY OFFICIAL?			Yes	No

5. NAME/DATE NEXT HIGHER LEVEL COMMANDER REVIEWED NPR:			b. DATE (YYYY/MM/DD)
a. NAME (Last, First, MI)

6. DID THE JUDGE ADVOCATE REVIEW THE CASE?			DATE (YYYY/MM/DD)
	Yes	No

7. DID THE SEEM REVIEW THE CASE?		No	DATE (YYYY/MM/DD)
	Yes	No
	Yes

8. DID THE ADJUNTANT GENERAL (or designated representative) REVIEW THE CASE?			DATE (YYYY/MM/DD)
	Yes	No
9. DATE YOU MET WITH MEMBER AND PROVIDED THEM WITH NPR:			DATE (YYYY/MM/DD)

10. COMPLAINANT'S ELECTION TO THE NPR'S PROPOSED RESOLUTION AND REMEDY:
[	] Accept the Proposed Resolution and Remedy.
[	] Withdraw my State Informal Resolution Request.
[	] File a NGB Formal Resolution Request

a. SIGNATURE OF COMPLAINANT			b. DATE (YYYY/MM/DD)

11. THIS FORM, THE NPR, THE LEADERSHIP INQUIRY REPORT, AND ANY ACCOMPANYING			DATE (YYYY/MM/DD
DOCUMENTATION WAS FORWARDED TO NGB-EO-CMA ON:

12. REMARKS:

10a. SIGNATURE OF COMMANDER

10b. DATE (YYYY/MM/DD)

NGB FORM 333, 20171128

Page 4 of 4

PART III - NGB FRR PROCESSING

FOR NGB-EO-CMA USE

ONLY

1. DATE FRR WAS RECEIVED FROM THE STATE:

DATE (YYYY/MM/DD)

2. PRELIMINARY REVIEW OF NGB FRR:

DISMISS

REMAND

IF ACCEPTED:

DATE INVESTIGATION REQUESTED:

DATE INVESTIGATION OFFICER (IO) APPOINTED:

NAME/RANK OF IO:

CONTACT INFORMATION FOR IO: EMAIL:

DATE INVESTIGATION WAS COMPLETED:

OFFICE PHONE:

CELL PHONE:

DATE REPORT OF FINDINGS RECEIVED:

DATE NGB NPR ISSUED:

IF DISMISSED:

DATE NOTICE OF PROPOSED DISMISSAL SENT:

DATE (YYYY/MM/DD)

COMPLAINANT HEARING REQUEST:

YES

DATE (YYYY/MM/DD)

STATE HEARING REQUEST:

DATE (YYYY/MM/DD)

YES

7.REMARKS:

NGB FORM 333, 20171128

How to Edit Ngb Form 333 Online for Free

ngb 333 can be filled out without difficulty. Just use FormsPal PDF editor to complete the task quickly. The tool is consistently improved by our staff, acquiring powerful functions and turning out to be greater. Getting underway is easy! All you have to do is stick to the next simple steps directly below:

Step 1: First of all, open the tool by clicking the "Get Form Button" above on this site.

Step 2: With the help of this online PDF tool, you can actually do more than merely fill out blanks. Try each of the functions and make your forms seem high-quality with custom textual content incorporated, or modify the original input to perfection - all backed up by an ability to incorporate any kind of graphics and sign the document off.

Be attentive when filling in this form. Ensure that each blank is done accurately.

1. When filling out the ngb 333, make certain to include all necessary blanks in their associated form section. It will help expedite the process, allowing for your details to be processed quickly and accurately.

Simple tips to fill in 333 form template stage 1

2. After completing the last step, go to the next step and complete the essential details in all these blank fields - HOME ADDRESS, Including Zip Code, TELEPHONE NUMBERS a BUSINESS, b HOME, ACTIVITY OR UNIT IN WHICH ALLEGED, ARE YOU Check One, PART TIME MILITARY MEMBER AGR, ALLEGED DISCRIMINATING OFFICIAL, REPRESENTATIVE a NAME Last First, If any, b RANKTITLE, b ADDRESS, CHECK BELOW THE BASIS, Reasons, and FOR ALLEGED DISCRIMINATION.

3. Completing O REPRISAL Based Upon EO Activity, Yes, N NATIONAL ORIGIN State Your, Specify, and NGB FORM is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

333 form template completion process clarified (portion 3)

4. To go onward, this step requires filling out a few blank fields. Included in these are CHECK FOR SPECIFIC ALLEGATIONS, AppointmentEnlistment Assignment, AwardsDecorations, Disciplinary Action, Duty Hours, EvaluationAppraisal Harassment, a NonSexual, b Sexual, PromotionNonSelection, Reassignment Retirement, Time and Attendance, TrainingEducation, Other, STATE ALLEGATION AND ISSUES, and Explanations background and, which are vital to moving forward with this particular document.

333 form template completion process described (step 4)

Lots of people often make some errors while filling out PromotionNonSelection in this area. Ensure you review whatever you type in right here.

5. The pdf should be completed within this part. Below you'll see an extensive list of form fields that require specific information for your document usage to be faultless: WHAT CORRECTIVE ACTION DO YOU, a SIGNATURE OF COMPLAINANT, OFFICIAL RECEIVING COMPLAINT a, b DATE, and b TITLE.

How to complete 333 form template part 5

Step 3: Go through all the information you've inserted in the form fields and then press the "Done" button. After starting afree trial account here, you will be able to download ngb 333 or send it via email directly. The PDF will also be at your disposal from your personal cabinet with your every modification. FormsPal is devoted to the privacy of all our users; we make sure all personal information entered into our tool is kept confidential.

10. REPRESENTATIVE

a. NAME (Last, First, MI)

b. ADDRESS