Document
Extension of EEO Counseling
ICR 201210-2105-001 · OMB 2105-0556 · Object 35480401.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Extension of EEO Counseling |
| Author | monica.waldron |
| Last Modified By | Writer |
| File Modified | 2012-10-17 |
| File Created | 2026-10-24 |
| Conversion State | complete |
Extracted Text
Subject: EXTENSION OF EEO COUNSELING
In accordance with § 1614.105(e) of the Equal Employment Opportunity Commission (EEOC) Regulations (29 C.F.R. Part 1614), the undersigned agree to postpone the final interview on the matter(s) upon which EEO Counseling commenced on ________________.
(Date)
It is understood that counseling may extend for a period of 60 days from the date of this Agreement [not more than 60 days beyond the end of the 30-day period allowance for counseling]. If counseling is completed prior to the end of the period stated above, and the matter(s) remains unresolved, a “Notice of the Right to File a Discrimination Complaint” will be provided. I understand this is merely an extension of the counseling period. It does not compromise my right to file a formal discrimination complaint.
___________________________________________ _________________________
Signature of Aggrieved Individual Date
___________________________________________ _________________________
Signature of Representative Date
___________________________________________ _________________________
Signature of EEO Official Date