Employee Pre-Complaint Intake Form

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Begin the EEO Pre-Complaint Process Online

USDA employees and applicants for employment who believe they have experienced employment discrimination may use the EEO Pre-Complaint Intake Form below to initiate contact with the Office of the Assistant Secretary for Civil Rights. Complete the form below to begin the EEO pre-complaint process.

Privacy Act Statement

AUTHORITY: 42 U.S.C. 2000e-16(b) and (c); 29 U.S.C. 204(f) and 206(d); 29 U.S.C. 633(a); 29 U.S.C. 791; Reorg. Plan No. 1 of 1978, 43 FR 19607(May 9, 1978); E.O. 12106, 44 FR 1053 (January 3, 1979).

PRINCIPAL PURPOSE(S): Information is collected to counsel, investigate and adjudicate complaints of employment discrimination and related appeals brought by applicants and current and former federal employees against federal employers.

ROUTINE USE(S): To disclose information to another federal agency, to a court, or to a party in litigation before a court or in an administrative proceeding being conducted by a federal agency when the government is a party to the judicial or administrative proceeding. To provide information to a congressional office from the record of an individual in response to an inquiry from that congressional office made at the request of that individual. To disclose to an authorized appeal grievance examiner, formal complaints examiner, administrative judge, equal employment opportunity investigator, arbitrator or other duly authorized official engaged in investigation or settlement of a grievance, complaint or appeal filed by an employee. To disclose, in response to a request for discovery or for appearance of a witness, information that is relevant to the subject matter involved in a pending judicial or administrative proceeding. For a complete list of routine uses, visit https://www.federalregister.gov/documents/2023/04/21/2023-08475/privacy-act-of-1974-implementation.

DISCLOSURE: Voluntary; however, failure to complete all portions of this form may lead to dismissal of complaint based on inadequate data on which to determine if complaint is acceptable for processing.

RULES OF USE: Rules for collecting, using, retaining, and safeguarding this information are contained in "FOIA Requests and Appeals," entitled “Equal Employment Opportunity in the Federal Government Complaint and Appeal Records” available at https://www.eeoc.gov/foia/submit-request-or-appeal.