Dd Form 2815 - Alternate Dispute Resolution (Adr) Report
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1
2
3
4REPORT CONTROL SYMBOL
ALTERNATE DISPUTE RESOLUTION (ADR) REPORT
DD-GC(A)2099
1. REPORTING PERIOD
2. REPORTING COMPONENT
Please adhere to the definitions on page 4, or in the alternative, provide your Component's definition in the Narrative section on Page 3.
3. DOES YOUR COMPONENT HANDLE EEO CASES?
YES
NO
(If YES, attach a copy of the relevant EEOC Form 462.)
(If copy is attached, only complete the EEO column below if numbers differ from the EEOC form.)
4. DOES YOUR COMPONENT ENGAGE IN ENVIRONMENTAL COLLABORATION AND CONFLICT RESOLUTION (ECCR)?
YES
NO
(If YES, attach a copy of the relevant OMB-CEQ ECCR survey.)
5. PROVIDE A NUMERICAL COUNT OF THE ADR EVENTS HANDLED BY YOUR COMPONENT (In accordance with the instructions and definitions
on page 4)
(1)
(2)
(6)
(7)
(3)
(4)
(5)
EEO
WORKPLACE
OTHER
TOTAL NUMBER OF
WORKPLACE
ACQUISITION
CLAIMS
(If different from
(Labor-
(Do not include ECCR
ADR EVENTS BY
(Other)
EEOC Form 462)
Management)
or EEO reporting)
PROCESS
a. CONCILIATION
b. MEDIATION
c. EARLY NEUTRAL
EVALUATION
d. NON-BINDING
ARBITRATION
e. SETTLEMENT JUDGE/
CONFERENCE
f. FACTFINDING
g. REVIEW PANEL
h. OTHER
i. TOTAL NUMBER OF ADR
EVENTS BY SUBJECT
MATTER
j. TOTAL NUMBER OF
RESOLUTIONS REACHED
BY ADR
k. PERCENTAGE OF ADR
CASES RESOLVED BY
ADR
6. PROVIDE A NUMERICAL COUNT OF THE ADR EVENTS HANDLED BY YOUR COMPONENT (In accordance with the instructions and definitions
on page 4)
(7)
(1)
(2)
(6)
(3)
(4)
(5)
TOTAL NUMBER OF
EEO
WORKPLACE
OTHER
WORKPLACE
ACQUISITION
CLAIMS
(If different from
(Labor-
(Do not include ECCR
ADR EVENTS BY
(Other)
EEOC Form 462)
Management)
or EEO reporting)
PROCESS
a. FACILITATION
b. OMBUDSMAN
c. PARTNERING
d. BINDING ARBITRATION
e. SUMMARY TRIAL WITH
BINDING DECISION
DD FORM 2815, MAY 2016
PREVIOUS EDITION MAY BE USED.
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