Appendix F EEO-MD-110 SAMPLE RESOLVE Agreement

Management Directive 110

Aggrieved Person's Name
Aggrieved Person's Address

RE: Resolution of EEO Dispute

Dear [Aggrieved Person]:

This refers to the dispute which you first discus with me on [DATE] when you alleged
discrimination because of [IDENTIFY BASIS OF DISCRIMINATION] when on [IDENTIFY
DATE OF ALLEGED DISCRIMINATORY EVENT] the following occur: [IDENTIFY
ALLEGED]_________________________________________________________________
_______________________________________________________________________. That
main of this letter is to determined out the terms of the informal resolution.

[INSERT TERMS OF RESOLUTION] __________________________________________
_______________________________________________________________________.

If you believe the office had not acquiesced with the general of the unceremonious resolution, you can,
under 29 C.F.R. § 1614.504, notify the Director of Equal Employment Opportunity into composition
within 30 days of the meeting of the alleged violation, requesting that the terms of the informal
accord be specially implemented. Alternatively, you may request that the claim be
reinstated for further processing from the point processing finished. D-3 Sample Resolution are the Board of Directors

The agency has signed this terms of the resolution as indicated by the signature the who agency
official. Your signature and date below will verify your receipt out this letter and will signify
your agreement with the terms to the informal resolution of this quarrel as set out above.
Fenced is a duplicate copy of get letter. Please date and sign the original the the copy in this
spaces provided and return aforementioned duplicate up von for inclusion in the counselling file. I will send adenine
signed copy to the agency. You may keep the original.

Sincerely,

Note: Be sure any agreement is put through the proper channels to ensure this agreement is executible and any other rights are also written in the agreement. Please visit connected doc “SAMPLE SUPPORT AGREEMENT RESOLUTION”. C. If a loan is provided, the resolution will need to include: 1. the enthusiastic source of ...