DA Form 2590 "Formal Complaint of Discrimination"

What Is DA Form 2590?

DA Form 2590, Formal Complaint of Discrimination, is a form used for documenting complaints of discrimination based on national origin, religion, sex, age, physical or mental disability. This form is also used for filing complaints of cases of reprisals by the U.S. Department of the Army (DA) civilian employees, former employees, applicants for employment, and some contract employees.

Alternate Name:

  • Army Complaint Form.

The latest version of the Army Complaint Form - sometimes incorrectly referred to as DD Form 2590 - was released on February 1, 2004. An up-to-date DA Form 2590 fillable version is available for digital filing and download below or can be found through the Army Publishing Directorate website. The DA 2590 provides a better and more preferable format than a letter of complaint. A formal complaint should be filed no later than 15 days after receiving the Notice of Right to File a Formal Complaint of Discrimination unless there are any circumstances that can hinder that process.

DA Form 7510, EEO Counselor's Report, is a related form used for processing the discrimination complaints received via the DA 2590.

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How to File DA Form 2590?

An overview of the form and filing guidelines can be found in the Army Regulation 690 - 600, Equal Employment Opportunity Discrimination Complaints. DA Form 2590 instructions are as follows:

  1. Blocks 1, 2, 3, and 4 require personal identifying information about the complainant. This includes their full name, SSN, home phone number, and home address. The complainant must also indicate if they are currently an employee of the federal government. A positive answer requires providing the name of the agency, a work telephone number, the address of the employer, the symbol of the office, the complainants pay plan, series or grade, and current job title.
  2. Section I is for the information about the complaint. Box 9 requires specifying the grounds of discrimination by checking the applicable box. Detailed information on the case should be provided in Box 10.
  3. The name and the address of the organization where the discriminating act took place must be specified in Boxes 11a and 11b.
  4. Box 12 requires specifying if the complainant has discussed the case with an Equal Employment Opportunity (EEO) counsel. Those that have must provide the name of the counselor, the date of the first contact, and the date when the complaint was filed and received.
  5. Box 13 is for electing to be represented by an attorney or non-attorney or go without presentation altogether.
  6. The type of action the complainant is seeking should be stated in Box 14.
  7. Boxes 15a through 15d feature a question about possible previous contacts with the Merit Systems Protection Board (MSPB) or complaints filed under the union-negotiated grievance procedure.
  8. The names and brief testimonies of all possible witnesses are listed in Box 16. The form is then signed by the complainant in Boxes 17a and 17b
  9. Section II is filled entirely by an EEO officer. They should verify all the information about the abuse presented by the complainant.
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FORMAL COMPLAINT OF DISCRIMINATION
For use of this form, see AR 690-600; the proponent agency is OSA
PRIVACY ACT STATEMENT (5 U.S.C. §552a)
Public Law 92-261
AUTHORITY:
Used for formal filing of complaints of discrimination because of race, color, national origin, religion, sex, age, physical or
PRINCIPAL PURPOSE:
mental disability, and/or reprisal by Department of the Army civilian employees, former employees, applicants for
employment, and some contract employees.
Information will be used (a) as a data source for complaint information for production of summary descriptive statistics and
ROUTINE USES:
analytical studies of complaints processing and resolution efforts; (b) to respond to general requests for information under
the Freedom of Information Act; (c) to respond to requests from legitimate outside individuals or agencies (Congress, White
House, Equal Employment Opportunity Commission) regarding the status of an EEO complaint or appeal; or (d) to
to adjudicate an EEO complaint or appeal.
Voluntary, however, failure to complete all appropriate portions of the form may lead to rejection of complaint on the basis of
DISCLOSURE:
inadequate data on which to continue processing.
1. NAME (
2. SOCIAL SECURITY NUMBER
3. HOME TELEPHONE NUMBER
Last, First, Middle Initial)
4. HOME ADDRESS
5. DO YOU CURRENTLY WORK FOR THE FEDERAL
GOVERNMENT?
NO
YES
(If yes, complete 6, 6a, 6b, 7 and 8.)
6. NAME OF AGENCY WHERE CURRENTLY EMPLOYED
6a. WORK TELEPHONE NUMBER
6b. EMPLOYER'S ADDRESS
7. PAY PLAN/SERIES/GRADE
(Complete information to include office symbol).
8. CURRENT JOB TITLE
SECTION I - COMPLAINT INFORMATION
9. REASON YOU BELIEVE YOU WERE DISCRIMINATED AGAINST
(Check below all that apply. Identify specific race, color, sex, age, religion, national
origin, and/or disability.)
RACE
COLOR
SEX
Male
Female
AGE
DATE OF BIRTH
NATIONAL ORIGIN
RELIGION
DISABILITY
Mental
Physical
REPRISAL
(Date(s) and type of prior EEO activity)
10. EXPLAIN WHEN AND HOW YOU WERE DISCRIMINATED AGAINST (If your complaint involves more than one basis of alleged discrimination, list
and number each basis separately and provide specific factual information in support of each allegation of discrimination. If necessary, continue on
page 2.)
DA FORM 2590, FEB 2004
PAGE 1 OF 3
REPLACES DA FORM 2590-R, AUG 89, WHICH IS OBSOLETE.
APD LC v1.01ES
FORMAL COMPLAINT OF DISCRIMINATION
For use of this form, see AR 690-600; the proponent agency is OSA
PRIVACY ACT STATEMENT (5 U.S.C. §552a)
Public Law 92-261
AUTHORITY:
Used for formal filing of complaints of discrimination because of race, color, national origin, religion, sex, age, physical or
PRINCIPAL PURPOSE:
mental disability, and/or reprisal by Department of the Army civilian employees, former employees, applicants for
employment, and some contract employees.
Information will be used (a) as a data source for complaint information for production of summary descriptive statistics and
ROUTINE USES:
analytical studies of complaints processing and resolution efforts; (b) to respond to general requests for information under
the Freedom of Information Act; (c) to respond to requests from legitimate outside individuals or agencies (Congress, White
House, Equal Employment Opportunity Commission) regarding the status of an EEO complaint or appeal; or (d) to
to adjudicate an EEO complaint or appeal.
Voluntary, however, failure to complete all appropriate portions of the form may lead to rejection of complaint on the basis of
DISCLOSURE:
inadequate data on which to continue processing.
1. NAME (
2. SOCIAL SECURITY NUMBER
3. HOME TELEPHONE NUMBER
Last, First, Middle Initial)
4. HOME ADDRESS
5. DO YOU CURRENTLY WORK FOR THE FEDERAL
GOVERNMENT?
NO
YES
(If yes, complete 6, 6a, 6b, 7 and 8.)
6. NAME OF AGENCY WHERE CURRENTLY EMPLOYED
6a. WORK TELEPHONE NUMBER
6b. EMPLOYER'S ADDRESS
7. PAY PLAN/SERIES/GRADE
(Complete information to include office symbol).
8. CURRENT JOB TITLE
SECTION I - COMPLAINT INFORMATION
9. REASON YOU BELIEVE YOU WERE DISCRIMINATED AGAINST
(Check below all that apply. Identify specific race, color, sex, age, religion, national
origin, and/or disability.)
RACE
COLOR
SEX
Male
Female
AGE
DATE OF BIRTH
NATIONAL ORIGIN
RELIGION
DISABILITY
Mental
Physical
REPRISAL
(Date(s) and type of prior EEO activity)
10. EXPLAIN WHEN AND HOW YOU WERE DISCRIMINATED AGAINST (If your complaint involves more than one basis of alleged discrimination, list
and number each basis separately and provide specific factual information in support of each allegation of discrimination. If necessary, continue on
page 2.)
DA FORM 2590, FEB 2004
PAGE 1 OF 3
REPLACES DA FORM 2590-R, AUG 89, WHICH IS OBSOLETE.
APD LC v1.01ES
EXPLAIN WHEN AND HOW YOU WERE DISCRIMINATED AGAINST
(Cont'd) (If necessary, additional sheets may be used.)
11a. NAME OF ORGANIZATION WHERE ALLEGED DISCRIMINATION
11b. ADDRESS OF ORGANIZATION WHERE ALLEGED
OCCURRED
DISCRIMINATION OCCURRED
12a. HAVE YOU DISCUSSED THE ISSUE (s) IN BLOCK 10 WITH AN EEO COUNSELOR?
NO
YES (
If yes, complete 12b,
12c, and 12d below.)
12b. NAME OF EEO COUNSELOR
12c. DATE OF INITIAL CONTACT WITH EEO
12d. DATE NOTICE OF RIGHT TO FILE A
OFFICIAL
(YYYYMMDD)
FORMAL COMPLAINT OF DISCRIMINATION
RECEIVED
(YYYYMMDD)
13. ELECTION OF REPRESENTATION
ATTORNEY
NON-ATTORNEY
NO REPRESENTATION
NAME OF REPRESENTATIVE
ADDRESS
TELEPHONE NUMBER:
FAX:
E-MAIL:
14. WHAT RELIEF ARE YOU SEEKING TO RESOLVE THIS COMPLAINT?
(State specific corrective action desired for each allegation.)
15a. HAVE THE ISSUES IDENTIFIED IN BLOCK 10 BEEN APPEALED TO THE MERIT SYSTEMS PROTECTION BOARD
OR FILED
(MSPB)
UNDER A UNION NEGOTIATED GRIEVANCE PROCEDURE?
NO
YES (If yes, complete 15b, 15c, and 15d below.)
15b.
15c. DATE FILED
(YYYYMMDD)
15d. MSPB OR UNION
DOCKET NUMBER
(If known)
MSPB
UNION NEGOTIATED GRIEVANCE
16. LIST NAME(
s)
OF WITNESS (
ES)
AND BRIEFLY STATE WHAT INFORMATION WITNESS MAY CONTRIBUTE TO THE INVESTIGATION OF
YOUR COMPLAINT.
17a. SIGNATURE OF COMPLAINANT
17b. DATE DA FORM 2590 SIGNED BY COMPLAINANT
(YYYYMMDD)
DA FORM 2590, FEB 2004
PAGE 2 OF 3
APD LC v1.01ES
(EEOO)
SECTION II - TO BE COMPLETED BY THE PROCESSING EEO OFFICER
18a. NAME OF COMPLAINANT
18b. SOCIAL SECURITY NUMBER
18c. DA DOCKET NUMBER
18d. TYPED/PRINTED NAME OF EEOO
18e. ADDRESS OF EEO OFFICE (
Complete address to include office symbol)
18f. EEOO TELEPHONE NUMBER
18g. EEO OFFICE FAX NUMBER
18h. EEOO E-MAIL ADDRESS
18i. SIGNATURE OF EEOO
19a. DATE COMPLAINT RECEIVED
(YYYYMMDD)
19b. METHOD OF DELIVERY
MAIL
(postmark date)
IN PERSON
19c. DATE COMPLAINT DEEMED FILED
(YYYYMMDD)
(YYYYMMDD)
FAX
OTHER
19d. DATE COMPLAINT ACCEPTED OR DISMISSED
(YYYYMMDD)
(es)
20. IDENTIFY ISSUES IN BLOCK 10 BY PLACING AN "A" FOR ACCEPTED OR A "D" FOR DISMISSED IN APPLICABLE BOX
APPOINTMENT/HIRE
EXAMINATION/TEST
REINSTATEMENT
ASSIGNMENT OF DUTIES
EVALUATION/APPRAISAL
REPRIMAND
RETIREMENT/CONSTRUCTIVE
AWARDS
HARASSMENT
(non-sexual)
DISCHARGE/RESIGNATION
CONVERSION TO FULL TIME
HARASSMENT (
SUSPENSION
sexual)
DETAIL
PAY/OVERTIME
TERMINATION
DEMOTION
PROMOTION/NON-SELECTION
TIME AND ATTENDANCE
DISCIPLINARY ACTION
REASSIGNMENT-REQUEST DENIED
TRAINING
(other)
DUTY HOURS
REASSIGNMENT-DIRECTED
TERMS/CONDITIONS OF EMPLOYMENT
OTHER
(Specify)
21. REMARKS
DA FORM 2590, FEB 2004
PAGE 3 OF 3
APD LC v1.01ES
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