Your formal complaint must be filed within 15 calendar days of the date you received the Notice of Right to File a Discrimination Complaint from your EEO Counselor.
Time limit: if you do not meet this time limit, you must explain why you waited more than 15 calendar days to file.
EEO Counselor: the requirement that you contact an EEO Counselor about every claim listed in item 9 will not be waived under any circumstances.
Assistance: please complete all items on the complaint form; you can obtain assistance from your EEO Counselor in filling out this form.
Where to file: the complaint should be filed with the ORMDI District Office identified in the NRTF.
| Question | Answer |
|---|---|
| Form Name | VA Form 4939 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 40 |
| Avg. time to fill out | 7 min |
| Edition | JUL 2020 |
| Filing deadline | Within 15 calendar days of the date you received the Notice of Right to File a Discrimination Complaint from your EEO Counselor |
| Where to file | The ORMDI District Office identified in the NRTF |
| Matches the agency's file | Yes, checked October 3, 2026 |
| Other names | VA Form 4939, VA 4939, 4939, Form 4939, Complaint of Employment Discrimination, VA EEO complaint form |
| Official source | VA Form 4939 (JUL 2020), Department of Veterans Affairs |
Va Form 4939 isn’t the one you’re looking for?