Create a Claim - SOCRATES

1. Your full legal name: Last:

First:

Middle:

2. Preferred mailing address:

City:

State:

Zip code:

3. Preferred phone number:

4. Preferred email:

Preferred email (retype):

5. Legislative branch employing office that this claim is filed against:

6. Your employment status:

7. If this claim is filed against the Library of Congress, have you filed a formal complaint with the Library’s Office of Equal Employment Opportunity and Diversity Programs concerning the same issues that are raised in this claim form?

If yes, indicate the date that you filed the formal complaint:

8. Is this claim form intended to replace or amend a claim form that you have already filed with OCWR?

If yes, include the case name, case number, and date filed:

Cancel

11. Are you claiming that a Member of Congress:

• personally harassed you?

• personally intimidated, retaliated, or discriminated against you because you raised a claim of harassment?

Name of the Member:

12. Are you claiming that a senior staff of the House of Representative or the Senate: ?

• personally harassed you?

• personally intimidated, retaliated, or discriminated against you because you raised a claim of harassment?

Name of senior staff:

Cancel

Please describe the actions that you are challenging as indicated in the previous section of this form, and please also explain why you believe that the actions violate the CAA. For example, if you believe you were discriminated against because of your race, explain how, describing the actions that you are challenging, providing the date and location where the actions occurred, and the name and title of each person responsible for the actions.

(0/2000) ?

Cancel

I certify that all of the statements made in this form and any attachments are true, complete, and correct to the best of my knowledge and belief.

Name:

If you need technical support completing this claim form, send an email to efilesupport@ocwr.gov.

If you wish to be represented, you must file a Notice of Designation of Representative form available on the OCWR website.

Note: OCWR will send you an Acknowledgement Notice within the next few days. You will be able to access a digital copy of your claim form via a link provided to you by OCWR.

You may amend your claim form within 15 calendar days of filing your initial claim form. For more information, please contact OCWR at (202) 724-9250.

OFFICE OF

CONGRESSIONAL WORKPLACE RIGHTS

Secure Online Claims Reporting and Tracking E-filing System (SOCRATES)

Create a Claim:

Step 1 of 7

These items must be completed before proceeding to the next section of the claim form

I certify that all of the statements made in this form and any attachments are true, complete, and correct to the best of my knowledge and belief.

You have successfully submitted a claim with OCWR
on: 02/22/2024 11:49:00 AM EST

There was an issue submitting your claim.

You may download and submit the claim form found on the home page.

Create a Claim:

Step 1 of 7

These items must be completed before proceeding to the next section of the claim form

I certify that all of the statements made in this form and any attachments are true, complete, and correct to the best of my knowledge and belief.

You have successfully submitted a claim with OCWR on: 02/22/2024 11:49:00 AM EST

There was an issue submitting your claim. You may download and submit the claim form found on the home page.

You have successfully submitted a claim with OCWR
on: 02/22/2024 11:49:00 AM EST

There was an issue submitting your claim.

You may download and submit the claim form found on the home page.