You may use this form to amend your initial (original) administrative dispute resolution (ADR) claim. You are allowed to file only one amended claim form as a matter of right, within 15 calendar days after you filed your original claim form pursuant to section 4.08(d) of the Office of Congressional Workplace Rights (OCWR) Procedural Rules.

For more information and detailed instructions for how to file, please see the How to File a Claim with the Office of Congressional Workplace Rights page.

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