You need DD Form 2655, and this page gives you the blank plus the steps for handling it. Start with what the form does: Complaint of Discrimination in the Federal Government. Its official title is DD Form 2655, Complaint of Discrimination in the Federal Government, June 2012.
Your second step is the edition, not stated, listed as not stated. Your third is scope. Because the number carries a DD prefix, you use the same blank as every other military department and defense agency; no service-specific version exists for you to hunt down.
Then settle the schedule. You are working under not stated, with not stated responsible for the document, and your organization layers its own deadlines on that. Ask before you assume a date.
Finally, decide how you will complete it. You can type into a fillable file or print a blank and write by hand, and the rest of this page walks you through both paths in order.
Begin at the top and move down. Enter your identifying data first, then the body of the form, then the signature block. The sequence is printed in that order because entries below frequently follow from entries above.
Before your first entry, look at the corner of the page and compare the printed date with not stated. If they do not match, stop and download again. Old copies circulate in shared drives for years, and a DD form is revised centrally for every service at once, so a superseded blank may not carry the fields your reviewer expects.
Look up an unclear item on the form face before anywhere else, then in not stated. Should the two texts conflict, the directive is the one you follow.
Download the form
Begin by choosing a file. Available here: PDF. Plan for 3 pages and about 54 entries.
Take the pdf if you are unsure. Then check which kind you have: if the boxes highlight when you click them, you have a fillable pdf and can type straight into it, and your entries save with the file. If nothing highlights, you have a printable pdf — send it to a printer and use black ink.
Go with the typed route whenever the choice is yours. Consider what happens after you submit: the copy gets scanned, forwarded and filed, and each pass costs handwriting some legibility. Block letters help if you are stuck with a pen.
What the form asks for
- For agency use.
- 1. Full name of complainant (last, first, middle initial).
- 2.a. Home telephone number (area code only).
- 2.a. Remainder of home telephone number.
- 2.b. Office telephone number (area code only).
- 2.b. Remainder of office telephone number.
- 3. Address (Street, city, state and ZIP Code).
- 4.a. Name of office that you believe discriminated against you.
- 4.b. Address of office (Street, city, state and ZIP Code).
- 4.c. Name and title of person(s) you believe discriminated against you, if you know.
- 5. Are you now working for the Federal government? Press space bar to mark X in first box if yes, second box if no.
- 5.a. Name of agency where you work.
- 5.b. Address of your agency (Street, city, state and ZIP code).
- 5.c. Title and grade of your job.
- 6. Election of representation. X first box if attorney, second if non-attorney, or third if no representation.
- a. Name of representative.
- b. Address (include Zip Code).
- c. Telephone (include area code).
- d. Fax (include area code).
- e. E-mail address.
- 7. Date on which most recent alleged discrimination took place: four digit year, two digit month, two digit day.
- 8. X why you believe you were discriminated against. a. Race.
- If checked, state your race.
- b. X if color.
Submit the completed form through the channel not stated or your local guidance specifies. Save a copy for yourself before it leaves your hands, whether that means a scan, a photograph or a duplicate file.
Should you need a related form, look it up by its number. The DD sequence is Department-wide, which makes your search simple: no service qualifier, no branch-specific variant to track down.
Be careful when a procedure pairs this form with a service form. Read the prefix, not just the digits. Service forms answer to a service proponent, while DD forms answer to not stated or an equivalent Department office, and the two sequences were never aligned. Grabbing the wrong prefix gets you a form that has nothing to do with your task.
Do not archive this file and reuse it in a year. Forms are reissued as directives are revised, as data requirements shift, and as statutory notice text is amended. Your protection is simple: download fresh each time and confirm the edition date.
Finally, understand the limits of what you have read. This page distributes a published Department of Defense form and describes how to fill it out. It does not give legal or procedural advice, and it cannot promise any outcome for your particular case. For that, contact not stated, your administrative office, or the authority identified in not stated.
Questions and answers
- What is DD Form 2655?
- DD Form 2655, Complaint of Discrimination in the Federal Government, June 2012
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?