OSC Form-14 State Hatch Act Complaint Form

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

OSC Form-14

PROHIBITED POLITICAL ACTIVITY COMPLAINT FORM

Page 1 of 9

OMB No. 3255-0005

Expires 02/28/2026

COMPLAINT FORM TO REPORT A HATCH ACT VIOLATION

For instructions or questions, call the Hatch Act Unit at (202) 804-7002.

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Improper Political Activities

(Hatch Act)

About Filing a Complaint

Biographical Information

Information about Subject

Alleged Violation

Other Actions

Attachments

Consent

Certification

INSTRUCTIONS FOR FILING A HATCH ACT COMPLAINT WITH THE U.S. OFFICE

OF SPECIAL COUNSEL (OSC)

This form should be used to file complaints alleging violations of the Hatch Act. In

order for us to best understand your allegations, we encourage you to fill in all the

fields that you can. However, only those fields marked with an asterisk are required.

If you fail to fill in a required field, your complaint cannot be processed. When

providing information, please be as specific as you can, provide as much detail as

possible, and attach/enclose all supporting documentation with your complaint filing.

Prior to submitting your complaint to OSC, we recommend you review the information

located on our . If you have any questions about this form, you may phone

the Hatch Act Hotline at (202) 804-7002.

PART 1: IMPORTANT INFORMATION ABOUT FILING A COMPLAINT

website

PART 2: BIOGRAPHICAL INFORMATION

* Denotes Required Fields

1. Complainant Information:

Title

Last Name

First Name Middle Initial

2. Contact Information:

International

Address Line 1

Address Line 2

City

Zip Code

State

Cell Phone Number

Office Phone Number

Home Phone Number

Email Address

Preferred means of contact:

email home phone

Please do not contact me on my office phone

office phonecell phone

Ext.

Address Location Domestic