Application For Extension Of Time To File U.s. Income Tax Return - Application For Extension Of Time To File U.s. Income Tax Return

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How to Make a Charge Referral to OSC
A charge referral can be sent to OSC by:
• By electronic mail addressed to: OSCReferral@usdoj.gov (preferred),
• By facsimile transmitted to: (202) 616-5509 (if under 25 pages), or
• By U.S. mail addressed to:
U.S. Department of Justice
Civil Rights Division
Office of Special Counsel for Immigration-Related
Unfair Employment Practices
950 Pennsylvania Avenue, NW (NYA)
Washington, DC 20530
The following information and documents is requested with your referral to OSC:
1. All forms completed or documents and statements provided by the Charging Party.
2. The following information:
• Case number assigned by your agency
• Date charge was filed with your agency
• Date of the alleged discrimination
• Whether your agency will continue to investigate any aspect of the charge,
and if so, which aspect(s)
• Name and contact information of attorney or investigator assigned (if any)
• Whether the charge has been filed or referred to another agency, and if so, the
agency, point of contact, case number, and date filed (if known)
This information can be provided by completing the Office of Special Counsel Referral
Transmittal Information Sheet (below) or via any other appropriate means.
To speak with an OSC representative about the referral process generally or to consult
about this specific referral, call OSC at (202) 616-5594 (Monday-Friday, 9 am – 5 pm
Eastern) and ask to speak with the Referral Duty Attorney. Questions about a referral
may also be directed to OSCReferral@usdoj.gov.

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