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VA 4939 2017-2025 free printable template

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SEND COMMENTS ONLY. DO NOT SEND THIS FORM A COMPLAINT OF EMPLOYMENT DISCRIMINATION OR REQUEST FOR BENEFITS TO THIS ADDRESS REVERSE OF VA FORM 4939 MAR 2013. Use an additional sheet of paper if necessary. If you have evidence which supports your explanation please attach it to this complaint. WHERE TO FILE The complaint should be filed with the ORM Field Office identified in the NRTF or the Deputy Assistant Secretary for ORM. You may submit a copy either by mail in person electronically via...
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How to fill out VA 4939

01
Gather necessary documents and information related to your claim or appeal.
02
Obtain the VA Form 4939 from the VA website or your local VA office.
03
Fill in your personal information at the top of the form, including your name, address, and Social Security number.
04
Provide details about the claim or appeal you are requesting assistance with.
05
Clearly indicate the reason for your request and any supporting evidence.
06
Review the completed form for accuracy and ensure all required fields are filled.
07
Sign and date the form at the bottom.
08
Submit the form according to the instructions, either by mailing it to the specified address or electronically if available.

Who needs VA 4939?

01
Veterans who are seeking assistance with claims or appeals related to disability benefits.
02
Individuals who are trying to obtain a determination regarding their eligibility for VA services.
03
Survivors or family members of veterans who require benefits or appeals assistance.

Who files VA Form 4939?

VA Form 4939 can be used by VA employees, former employees and applicants for employment who file a formal equal employment opportunity (EEO) complaint of discrimination.

What is the purpose of VA Form 4939?

VA Form 4939 is a complaint of employment discrimination that is used pursuant to the Equal Employment Opportunity Commission (EEOC) Title 29 Code of Federal Regulations (CFR) §1614.

When is VA Form 4939 due?

You must file your complaint within 15 days after the date you received the "Notice of Right to File a Discrimination Complaint" (NRTF) from your EEO Counselor. If you do not comply with this requirement, you must provide an explanation of why you waited more than 15 days to file. Under certain circumstances, these time limits may be extended.

How do I fill out VA Form 4939?

If you need any assistance in filling out this form, you can obtain it from from your EEO Counselor.

In item 8, you have to specify the basis of your complaint: race, national origin, gender (sex), religion, age, mental or physical disability (specific information about your disability), genetic information, and/or reprisal for prior EEO activity. If you list "Reprisal," please state the nature of the prior EEO activity in which you were engaged, i.e. did you file before an EEO complaint? You should be precise as to the dates of all events or actions you are protesting.

The claims listed in item 9, must be limited to those claims discussed with an EEO Counselor (discussed within 45 days after the occurrence of the event, or within 45 calendar days of the effective date, if a personnel action) or like or related claims. If you discussed with an EEO Counselor any of the claims listed in item 9, but not within 45 calendar days of their occurrence or of their effective date, you must explain the reason why you waited more than 45 days. If you did not discuss any of the claims listed in item 9 with an EEO Counselor, please immediately  contact the Office of Resolution Management (ORM), Regional EEO Officer. The requirement to contact an EEO Counselor about every claim listed in item 9 will not be waived under any circumstances. Failure to do so will delay the processing of your complaint. You must keep the ORM informed of your current address. If you move, immediately notify the ORM Field Office where you filed this complaint of your new address.

You may receive certified and express mail in connection with your complaint. It is your responsibility to claim all certified and express mail. If you fail to notify ORM of a change in address or to claim certified and express mail, your complaint may be dismissed.

Where do I send VA Form 4939?

You should file your complaint with the ORM Field Office identified in the NRTF or the Deputy Assistant Secretary for ORM. You may submit a copy either by mail, in person, electronically (via e-mail), or by facsimile.

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You can fill out the DS-11 form online or print out and fill out by hand. If you fill out the form electronically, at the end of the questionnaire you will need to print the form and bring it at the time of the interview.
You must submit form DS-82 If the following are true. Your U.S. Passport is undamaged and can be submitted with your application. Your U.S. Passport was issued when you were of age 16 or older. Your U.S. Passport was issues in your current name or you can legally document your name change.
Make sure you prepare the right form, e.g. for a minor child prepare the DS-11, for regular adult passport renewals you need the DS-82, etc.
The DS-160, Online Nonimmigrant Visa Application form, is for temporary travel to the United States, and for K (fiancé(e)) visas. Form DS-160 is submitted electronically to the Department of State website via the Internet.
Application For A U.S. Passport (DS-11) You should complete this form if you're applying for the first time, you're applying for your child who is under age 16, or you don't meet our requirements to renew your passport.

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VA 4939 is a form used by the Virginia Department of Taxation for reporting the sale of certain property or goods in Virginia.
Individuals and businesses that sell taxable goods or property in Virginia are required to file VA 4939.
To fill out VA 4939, gather the required information about the seller, buyer, property sold, and transaction details, then provide this information in the designated sections of the form.
The purpose of VA 4939 is to help the Virginia Department of Taxation track and collect taxes on sales of property and goods within the state.
Information that must be reported on VA 4939 includes the seller's and buyer's names and addresses, a description of the property sold, the sale price, and the dates of the transaction.
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