Members of the public (including legislative branch employees and constituents) have rights under the CAA ensuring that the Capitol Hill complex and district and state offices are accessible to individuals with disabilities in the provision of public services and accommodations established by Titles II and III of the ADA. To request an ADA inspection or to file a charge alleging a violation of the ADA, please use this form. Please drop off completed form to the Office of Congressional Workplace Rights or fax to: (202) 426-1913. If you would like to email the form, click here and email the completed form to



The following forms are provided to assist a covered employee in pursuing a claim of a violation of sections 201 through 207 of the Congressional Accountability Act (CAA) under the Office of Congressional Workplace Rights' Administrative Dispute Resolution process. These will be updated to reflect the changes of the CAA Reform Act, effective June 19, 2019.

Please note that certain forms require a password.  All forms requiring a password are designated with a “P.”  Contact the Office of Congressional Workplace Rights at (202) 724-9250 to obtain a password, if one is required.

To pursue a claim, a covered employee must file a Request for Counseling (form provided below) with the Office within 180 days from the date of the alleged violation.

Step 1: Counseling

Formal Request for Counseling (P)

To pursue a claim of a CAA violation, an employee must first submit a written request for counseling known as a formal request for counseling.  If unsure whether a claim is covered under the CAA, please contact the OCWR at (202) 724-9250 and ask to speak to a Counselor.  Please click here to access the form.

All calls and contacts are strictly confidential.

Agreement to Reduce the Period for Counseling (P)

During formal counseling, an employee may request to reduce their 30-day counseling period.  A request to reduce the counseling period must be approved by the Executive Director of the Office of Congressional Workplace Rights.  Please click here to access the form.

Withdrawal from Counseling with Right to Reinstate (P)

An employee may utilize this form to request to withdraw once from formal counseling with the Office, while preserving their right to reinstate their claim as long as the claim is reinstated within 180 days of the alleged violation.  Please click here to access the form.

Request to Reinstate Counseling after Withdrawal (P)

An employee who has withdrawn from counseling, and who wishes to reinstate their claim, may utilize this form to request to reinstate counseling with the Office. Counseling on a single matter will not last longer than 30 days. Please click here to access the form.

At the conclusion of the Counseling period, the employee or their designated representative shall be notified by the Executive Director of the end of the formal counseling period, and of their responsibility to file a Request for Mediation with the OCWR if they want to proceed further with their case.

Step 2: Mediation

Request for Mediation (P)

In order to proceed with their case, an employee must file with the OCWR a Request for Mediation not more than 15 days following receipt of the Notice of End of Counseling. Please click here to access the form. 

Step 3: Complaint

 Complaint (P)

After completing counseling and mediation under the CAA, a covered employee may elect to file an administrative complaint with the OCWR or file a civil action in federal District Court.  A complaint or civil action must be filed no sooner than 30 days nor later than 90 days from receipt of the Notice of End of Mediation. If no complaint or civil action is filed, the case will be closed. Please click here to access the form.



Designation of Representative

A party wishing to be represented by an individual, firm, or other entity, must file with the OCWR a written Notice of Designation of Representative. All service of case-related documents will be directed to the designated representative. Please click here to access the form.



Revised Impasse Form as of June 2019 

Older Impasse Form (P)

At the point in the negotiation of conditions of employment where the parties are unable to reach an agreement, despite efforts to do so by direct negotiations and the use of third-party mediation or other arrangement, a party or parties may request the Board consider the matter by filing a request that the Board consider a negotiation impasse or approve a joint request for binding arbitration procedure to resolve a negotiation impasse.  Please click here to access the form. Please note that certain forms require a password. You must contact the Office at 202-724-9250 to obtain a password.

Representation Petition 

Please click this form if you want to file a petition concerning labor representation.

Unfair Labor Practice Charge 

The Section 220 of the CAA prohibits Unfair Labor Practices (“ULP”) as enumerated at 5 U.S.C. § 7116.  If a legislative branch employee, union or employing office believes that a ULP has occurred, the aggrieved party may file a ULP Charge with the OCWR General Counsel, using the appropriate form below.  The OCWR General Counsel is responsible for investigating and prosecuting meritorious ULP Charges consistent with 5 U.S.C. § 7118 and Part 2423 of the Substantive Labor Management Relations Regulations.  Note that an original and 1 copy of a ULP Charge must be filed with the OCWR within 6 months of the ULP’s occurrence in order to be considered timely filed. 

ULP Charge Against an Employing Office 

ULP Charge Against a Labor Organization



Directory of Attorneys

Please note: House employees may also contact the Office of Employee Advocacy (OOEA) at 202-225-8800 to request free representation.



   Certification of Health Care Provider for Employee’s Serious Health Condition

   Certification of Health Care Provider for Family Member’s Serious Health Condition

   Notice of Eligibility Rights and Responsibilities

   Designation Notice

   Certification of Qualifying Exigency for Military Family Leave

   Certification for Serious Injury or Illness of a Current Servicemember – for Military Family Leave

   Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave