DA Form 7509 "Information Inquiry Summary"

What Is DA Form 7509?

This is a military form that was released by the U.S. Department of the Army (DA) on February 1, 2004. The form, often mistakenly referred to as the DD Form 7509, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

Form Details:

  • A 1-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;
  • Fill out the form in our online filing application.

Download an up-to-date fillable DA Form 7509 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

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Download DA Form 7509 "Information Inquiry Summary"

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1. DATE OF INITIAL CONTACT
INFORMATION INQUIRY SUMMARY
(YYYYMMDD)
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 processing of complaints of discrimination because of race, color, religion, sex, national origin, age,
PRINCIPAL PURPOSE:
physical or mental disability, and/or reprisal by Department of the Army civilian employees, former employees,
applicants for employment, and some contract employees.
ROUTINE USES:
Information will be used (a) as a data source for complaint information for production of summary descriptive
statistics and 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 (White House, Congress, Equal Employment Opportunity Commission) regarding the status
of an EEO complaint or appeal; or (d) to adjudicate complaint or appeal.
DISCLOSURE:
Voluntary, however, failure to complete all appropriate portions of the form may lead to delay in processing and/or
rejection of complaint on the basis of inadequate data on which to continue processing.
2. NAME
(Last, First, Middle Initial)
3. DUTY ORGANIZATION (Complete address including office symbol)
4. WORK TELEPHONE NUMBER
5. HOME TELEPHONE NUMBER
6. HOME ADDRESS
7. EEO OFFICIAL CONTACTED
8. TYPE OF CONTACT
EEO OFFICER OR STAFF MEMBER
TELEPHONIC
IN-PERSON
E-MAIL
EEO COUNSELOR
9. MATTER(s) OF CONCERN IDENTIFIED (Use additional sheets, if required.)
10. CONTACT SUMMARY
Provided general information regarding EEO complaint processing, emphasizing the 45-calendar day prescribed time limitation
for Initiating the EEO complaint process and right to representation during the EEO process, including the pre-complaint intake interview.
OTHER(Explain)
11. PRINTED NAME OF EEO OFFICIAL
12. SIGNATURE OF EEO OFFICIAL
13. DATE (YYYYMMDD)
14. PRINTED NAME OF INDIVIDUAL
15. SIGNATURE OF INDIVIDUAL (If available)
16. DATE (YYYYMMDD)
DA FORM 7509, FEB 2004
APD LC v1.01
1. DATE OF INITIAL CONTACT
INFORMATION INQUIRY SUMMARY
(YYYYMMDD)
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 processing of complaints of discrimination because of race, color, religion, sex, national origin, age,
PRINCIPAL PURPOSE:
physical or mental disability, and/or reprisal by Department of the Army civilian employees, former employees,
applicants for employment, and some contract employees.
ROUTINE USES:
Information will be used (a) as a data source for complaint information for production of summary descriptive
statistics and 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 (White House, Congress, Equal Employment Opportunity Commission) regarding the status
of an EEO complaint or appeal; or (d) to adjudicate complaint or appeal.
DISCLOSURE:
Voluntary, however, failure to complete all appropriate portions of the form may lead to delay in processing and/or
rejection of complaint on the basis of inadequate data on which to continue processing.
2. NAME
(Last, First, Middle Initial)
3. DUTY ORGANIZATION (Complete address including office symbol)
4. WORK TELEPHONE NUMBER
5. HOME TELEPHONE NUMBER
6. HOME ADDRESS
7. EEO OFFICIAL CONTACTED
8. TYPE OF CONTACT
EEO OFFICER OR STAFF MEMBER
TELEPHONIC
IN-PERSON
E-MAIL
EEO COUNSELOR
9. MATTER(s) OF CONCERN IDENTIFIED (Use additional sheets, if required.)
10. CONTACT SUMMARY
Provided general information regarding EEO complaint processing, emphasizing the 45-calendar day prescribed time limitation
for Initiating the EEO complaint process and right to representation during the EEO process, including the pre-complaint intake interview.
OTHER(Explain)
11. PRINTED NAME OF EEO OFFICIAL
12. SIGNATURE OF EEO OFFICIAL
13. DATE (YYYYMMDD)
14. PRINTED NAME OF INDIVIDUAL
15. SIGNATURE OF INDIVIDUAL (If available)
16. DATE (YYYYMMDD)
DA FORM 7509, FEB 2004
APD LC v1.01