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Agreement to Extend Pre-Complaint Counseling Period



Appendix 6

 

AGREEMENT TO EXTEND THE PRE-COMPLAINT COUNSELING PERIOD


In accordance with the EEO regulations at 29 C.F.R. 1614.105(e), I agree to an extension of the counseling period not to exceed 60 days. If my issues have not been resolved before the conclusion of the extended counseling period, I understand that the EEO Counselor will issue the Notice of Final Interview and Right to File a Discrimination Complaint. After receipt of the Notice of Final Interview, I will have 15 calendar days to file a formal complaint of discrimination against the agency.
 
 
 

Signature of Aggrieved Person                                                                         Date
 

Signature of Aggrieved Person                                                                         Date
 

Signature of  Representative  (if applicable)                                                     Date
 

Signature of EEO Counselor or EEO Officer                                                      Date