Annual Certification Checklist (v2025)

IssuerU.S. Office of Special Counsel
SectionU.S. Office of Special Counsel
The U.S. Office of Special Counsel’s (OSC) Certification Program allows federal agencies to
meet the statutory obligations of 5 U.S.C. § 2302(c), the Dr. Chris Kirkpatrick Whistleblower
Protection Act, and the OSC Reauthorization Act of 2017. In addition to the existing
requirements of the program, these statutes require agency heads to ensure that their employees
receive yearly information about whistleblower protection laws and to provide annual
supervisory training on how to respond to complaints involving whistleblower protections.
Certified agencies must complete this checklist each year to ensure their compliance with
ongoing and new annual requirements. The compl eted checklist should be emailed to
certification@osc.gov. Questions about completing this form should be directed to OSC’s
Outreach, Training & Compliance Unit, which can be reached at certification@osc.gov.
General Information
Agency or Office Completing Checklist:
Agency and OIG
Agency
OIG
Component (please indicate parent agency)
U.S. Office of Special Counsel
1730 M Street NW, Suite 218
Washington, DC 20036-4505
certification@osc.gov
Contact Information
U.S. Office of Special Counsel’s
Annual Certification Checklist
Please provide the contact information for the official responsible for implementing OSC's
Certification Program (the individual’s name and phone number will be placed on OSC’s
website as the point of contact once the agency is certified).
Name:
Title:
Email:
Phone:
Address (to send certificate):

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