Annual Certification Checklist (v2025)

• Issuer: U.S. Office of Special Counsel
• Section: U.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 completed 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):