Registration Form (v2024)

IssuerU.S. Office of Special Counsel
SectionU.S. Office of Special Counsel
U.S. Office of Special Counsel
1730 M Street NW, Suite 218
Washington, DC 20036-4505
U.S. Office of Special Counsel’s
Certification Program Registration Form
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 Office of Special Counsel 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. If you have any questions about completing this form or
OSC’s Certification Program, please contact OSC’s Diversity, Outreach, and Training Unit at
Please refer to our Certification Process Instructions.
Registering Agency or Office:
Agency and OIG
Component (please indicate parent agency)
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).
Address (to send certificate):
General Information
Contact Information

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