Claim Form
Legal Form Number | 402(a)(2) |
Section | Office of Congressional Workplace Rights (United States) |
Office of Congressional Workplace Rights
John Adams Building, 110 Second Street, SE, Room LA-200 | Washington, DC 20540 -1999
(202) 724-9250 (O) | (202) 426-1913 (F)
ocwr.gov
OCWR ADR Claim Form 402(a)(2)07/2023
Office of Congressional Workplace Rights
Administrative Dispute Resolution Claim Form
Instructions
You may use this form to file a cl aim with the Office of Congressional Workplace Rights
(OCWR). Claims mustallege violation(s) of the Congressiona l Ac countability Act
(CAA). 2 U.S.C. § 1302(c ); 2 U.S.C. §§ 1311-1317.
TheOCWR'srole in theclaimsprocess is to be a neutralfact-finder. The OCWR does
not act as an advo cate for any part y during the process.
YouhavetherighttoconsultwithanOCWRConfidentialAdvisortodiscussyour
concernspriortosubmittingaclaim.TheConfidentialAdvisorisanexperienced
employmentlawattorneywithbroadknowledgeofthelawsappliedbytheCAA.The
Confidential Advisor may discuss your workplace concerns with you and inform you of your
rights under the CAA,and the OCWR’sadministrativedispute resolution (ADR) procedures
to resolve claims. If you are not represented by an attorney, the Confidential Advisoralso may
help you drafta claim. The Confidential Advisor may not represent any party in any proceeding.
The services of the Confidential Advisor are provided on a privileged and confidential basis.
If you would like to request the assistance of the Confidential Advisor, please contact the
OCWR at (202) 724-9250 or send an e-mail to ConfidentialAdvisor@ocwr.gov.
Filing and Submission
A claim alleging a violation of the CAAmust be filed no later than 180 days after the date
of the incident.At the time of the alleged violation(s), youmust have beenan employee,
a former employee, applicant, intern, detailee, or fellow of a legislative branch employing office
covered by the CAA.
After you have submitted your claim form, an electronic copy will be available to you in your
secure claim folder created by the OCWR on itsonline platform. The OCWR will provide
you a link to your secure claim folder via e -mail.
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