Consolidated list of the three public forms used by OSC
Forms 11, 12 and 13 changes
3/1/2010
We need to change the fax number listed on our OSC forms 11, 12 and 13, the previously listed fax number is 202-653-5151; the new fax number is 202-254-3711
Forms 11 and 12 Changes
10/28/2009
OSC needs to modify the introductory page used for Electronic Filing of our Forms 11 and 12, to avoid confusing the public as to which form they should be filing.
We request permission to modify the existing titles of the forms, which appear on the first page which loads after the person has logged in, so that the titles below are added:
Complaint Form OSC-11
Complaint of Possible Prohibited Personnel Practice or Other Prohibited Activity
Whistleblower Disclosure Form OSC-12
Disclosure of Information
Form 12 changes only
12-8-2009
OSC would like to make minor editorial changes to the electronic version of OSC Form 12. There is a misspelled word on the electronic version of the form, “complainant” needs to be changed to “complaintant”. Two references to individuals need to be updated from the response letter: Ron Jaicks, and Kizito Namulanda.
12/20/2010
The U.S. Office of Special Counsel’s Disclosure Unit (DU) made minor modifications to Form 12. A copy in PDF of the draft is attached for review. Basically, we had an old phone number on the form which has now been updated. We made the information concerning the expiration date both current, and more explicit.
Form 13 changes only
4/28/11
We would like to make the following edits to OSC form 13 of the Hatch Act Section:
Line 7, page 2 of the form reads, “[n]ame of person who violated the Hatch Act (Subject).”
It should be changed to “Name of the person who was alleged to have violated the Hatch Act (subject).”
The consent statements 1-3 make reference to disclosures permitted by the Privacy Act, “(including circumstances summarized in Part 5, below).” The number 5 should be changed to number 6, so that it now will read in these three separate paragraphs: “(including circumstances summarized in Part 6 below).”
Form 14 changes only
3/9/2009
OSC is no longer able to use OSC Form 14 because the USERRA Demonstration
Project is no longer authorized for OSC to handle new Demonstration Project
Cases. Should we be reauthorized in the future, we will return to using this form.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | esnyder |
| File Modified | 0000-00-00 |
| File Created | 2021-02-01 |