Reprisal Complaint



What is a reprisal complaint?

Reprisal occurs when a management official takes or threatens to take an adverse personnel action against an individual, or fails to take a favorable personnel action, because that individual made or was believed to have made a protected disclosure, engaged in protected activity or challenged censorship or made disclosures related to the integrity of the scientific process.


Fields marked with * are required.


To claim reprisal please provide the following information:

Your Full Name:* 

Your Title:* 

Bureau or Office:* 

Your Email:* 

Best Contact Phone Number:* 

Describe in detail the protected disclosure or protected activity you engaged in and to whom the disclosure was made.* 

When did the disclosure or protected activity occur (i.e. date, location, circumstances)?* 

Provide the names and contact information of any witnesses to the disclosure, protected activity and/or adverse personnel action.* 

Describe in detail the adverse personnel action(s) that occurred or were threatened.* 

Explain why and how the official who took or threatened to take an adverse personnel action against you or failed to take a positive personnel action knew of the protected disclosure or activity.* 

Have you filed a complaint with the OSC or EEOC? If so, please provide the date you filed the complaint and the status of the complaint.* 

If you have challenged censorship or made disclosures related to the integrity of the scientific process, have you filed a scientific integrity complaint pursuant to DOI 305 DM 3? Please explain.* 

Have you participated in mediation or conflict resolution concerning your complaint? Please explain.* 

Do you wish to remain confidential?* 

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