| Jane Doe, Complainant, v. U.S. Dept. of XYZ (Sub-agency), Agency. |
) ) ) ) ) ) |
EEOC Appeal No. 202100ZZZZ EEOC Hearing No. (if applicable): N/A Agency Case No. 123-ABC-XXX |
| Check which brief this is: | ) | ☒ BRIEF IN SUPPORT OF APPEAL ☐ BRIEF IN OPPOSITION TO APPEAL |
| Your Name: | Jane Doe |
| Address: | 123 Anywhere Lane Anytown, MD XXXXX |