Ps Form 2564 C PDF Details

When it comes to filing taxes, knowing the exact forms and details you need can be a daunting task. If you're looking for information on Ps form 2564 C to help get your taxes in order this season, then you've come to the right place. In this blog post we'll provide an overview of everything that's included with ps form 2564c - from its purpose and guidelines, to what type of information it requires so that you understand exactly how to complete it correctly. Read on for an in-depth look at Ps Form 2564C!

QuestionAnswer
Form NamePs Form 2564 C
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names2564-C, 633a, EEO, ps form 2565 c

Form Preview Example

U.S. Postal Service

Withdrawal of Complaint of Discrimination

Case No.

I, ___________________________________________________________, do hereby voluntarily withdraw:

my request for EEO counseling or my formal EEO complaint in its entirety.

the following allegation(s) ONLY:

I fully understand that by withdrawing the complaint or allegation(s) I have withdrawn, I am waiving my rights to any further appeal of this allegation(s) through the EEO process. I further stipulate that my withdrawal did not result from threat, coercion, intimidation, promise or inducement.

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. § 2000e-16; the Age Discrimination in Employment Act of 1967, as amended, 29 U.S.C. § 633a; the Rehabilitation Act of 1973, as amended, 29 U.S.C. § 794a; and Executive Order 11478, as amended. This information will be used to adjudicate complaints of alleged discrimination and to evaluate the effectiveness of the EEO program. As a routine use, this information may be disclosed to an appropriate government agency, domestic or foreign, for law enforcement purposes; where pertinent, in a legal proceeding to which the USPS is a party or has an interest; to a government agency in order to obtain information relevant to a USPS decision concerning employment, security clearances, contracts, licenses, grants, permits or other benefits; to a government agency upon its request when relevant to its decision concerning employment, security clearances, security or suitability investigations, 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 Claimant

Date

PS Form 2564-C, June 2001

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