When individuals experience what they believe to be unfair treatment within the U.S. Postal Service (USPS), they have the opportunity to address these concerns through the Equal Employment Opportunity (EEO) process. At the heart of navigating this complex procedure is the PS Form 2564-B, a document designed to facilitate the resolution of EEO pre-complaints through a structured settlement agreement. This form serves as a critical juncture where parties involved— the complainant and USPS management— mutually work towards a resolution, acknowledging that an agreement has been reached that satisfies both. The form encompasses several key aspects: explicit withdrawal of EEO pre-complaint claims by the employee, stipulations based on which the withdrawal is made, and an acknowledgment of the binding nature of the agreement, which waives any rights to further appeal through the EEO process. Moreover, it includes provisions for addressing non-compliance with the terms, detailed instructions regarding the protection of the complainant's information under the Privacy Act, and outlines the diverse uses of the collected data, including its potential disclosure to various entities for specific purposes. The form underscores the importance of voluntary, informed consent by both parties in reaching an agreement, aimed at resolving allegations without admitting to any wrongdoing. Through this process, it offers a structured pathway for employees to seek redress, emphasizing conflict resolution and the importance of understanding one’s rights and the implications of the settlement agreement.
| Question | Answer |
|---|---|
| Form Name | Ps Form 2564 B |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | ps2564b postal form ps form 2564 b |
U.S. Postal Service
EEO Settlement Agreement
Case No.
1.I, __________________________________________, do hereby voluntarily agree to withdraw the following claims in my EEO
2. My withdrawal is based on the following stipulation(s):
I fully understand that by agreeing to this resolution, I waive my rights to any further appeal of my complaint through the EEO process. I further state that this agreement did not result from harassment, threats, coercion or intimidation.
I am fully aware that any settlement agreement knowingly and voluntarily agreed to by the parties, reached at any stage of the complaint process, is binding on both parties. Should I believe the Postal Service has failed to adhere to the stipulations contained in this agreement for any reason not attributable to my acts or conduct, I must notify the EEO Complaint’s Processing Office located in my district, in writing, within 30 calendar days of the alleged noncompliance. (Employees at Postal Service Headquarters and Headquarters Field Units and employees of the Inspection Service should notify the EEO Appeals Review Specialist at Postal Service Headquarters.) I may include in my statement of noncompliance a request that the terms of the settlement agreement be specifically implemented or, alternatively, that complaint be reinstated for further processing from the point processing ceased. The Postal Service will respond to my request in accordance with 29 C.F.R. § 1614.504.
Privacy Act Notice
Privacy Act Notice. The collection of this information is authorized by the Equal Employment Opportunity Act of 1972, 42 U.S.C. §
contracts, licenses, grants or other benefits; to a congressional office at your request; to an expert, consultant, or other person under contract with the USPS to fulfill an agency function; to the Federal Records Center for storage; to the Office of Management and Budget for review of private relief legislation; to an independent certified public accountant during an official audit of USPS finances; to an investigator, administrative judge or complaints examiner appointed by the Equal Employment Opportunity Commission for investigation of a formal EEO complaint under 29 CFR 1614; to the Merit Systems Protection Board or Office of Special Counsel for proceedings or investigations involving personnel practices and other matters within their jurisdiction; and to a labor organization as required by the National Labor Relations Act. Under the Privacy Act provision, the information requested is voluntary for the complainant, and for Postal Service employees and other witnesses.
Signature of Counselee
Date
Management agrees to the aforementioned stipulation(s) solely in an effort to resolve the counselee’s allegation(s), and this agreement should not be construed as an admission of discrimination or wrongdoing on the part of any official of the U.S. Postal Service.
Signature of Management Representative
Date
Prnited Name of Management Representative
Title of Management Representative
PS Form