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Get the free Discrimination/Harassment Complaint Form - bemidjistate

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This form is designed for individuals to report incidents of discrimination, harassment, or retaliation, providing necessary information about the complainant, respondent, witnesses, and supporting
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How to fill out discriminationharassment complaint form

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How to fill out Discrimination/Harassment Complaint Form

01
Obtain the Discrimination/Harassment Complaint Form from your organization's HR department or website.
02
Read the instructions carefully to understand what information is required.
03
Fill out your personal information in the designated sections (name, contact details, etc.).
04
Describe the incident or behavior that you are complaining about in detail, including dates, times, and locations.
05
Provide the names and contact information of any witnesses, if applicable.
06
Indicate the specific policies or laws that you believe were violated.
07
Sign and date the form to certify that the information provided is accurate to the best of your knowledge.
08
Submit the completed form to the appropriate department or individual as instructed.

Who needs Discrimination/Harassment Complaint Form?

01
Any employee or individual who has experienced discrimination or harassment in the workplace or educational environment.
02
Individuals who believe they have been subjected to unfair treatment based on race, gender, age, disability, or other protected categories.
03
Employees who wish to formally document their experiences and seek resolution or action from their organization.
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People Also Ask about

The two most common forms are described as quid pro quo sexual harassment and hostile work environment sexual harassment: Quid pro quo harassment. Hostile work environment harassment.
Workplace harassment Offensive jokes, objects, or pictures. Name-calling. Physical assaults and threats. Intimidation.
Offensive conduct may include, but is not limited to, offensive jokes, slurs, epithets or name calling, physical assaults or threats, intimidation, ridicule or mockery, insults or put-downs, offensive objects or pictures, and interference with work performance.
Harassment can include telling derogatory jokes, sharing offensive cartoons or pictures, using ethnic slurs, pressuring others for sexual favors, unwanted touching, and more. Retaliating against a worker for reporting these behaviors is also considered harassment.
What to Include in the Formal Complaint. Your discrimination complaint must contain the following: Your name, address, and telephone number; A short description of the events that you believe were discriminatory (for example, you were terminated, demoted, harassed);
Examples of harassment include offensive or derogatory jokes, racial or ethnic slurs, pressure for dates or sexual favors, unwelcome comments about a person's religion or religious garments, or offensive graffiti, cartoons or pictures.
In the first paragraph, introduce yourself and state your grievance about the problematic recent events. In the following body of text (typically 2-3 paragraphs) recount each incident of workplace harassment exactly as you remember it (even if profane language was involved).
For example, you might write: “I am writing to formally file a complaint regarding harassment I have experienced in the workplace. This complaint is directed against [Name of individual(s)], whose behaviour has created a hostile and unproductive work environment for me.”

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The Discrimination/Harassment Complaint Form is a document used to report incidents of discrimination or harassment within an organization. It provides a formal mechanism for individuals to report their experiences and seek resolution.
Any individual who believes they have experienced or witnessed discrimination or harassment based on protected characteristics, such as race, gender, sexual orientation, or disability, is encouraged to file a complaint using the form.
To fill out the Discrimination/Harassment Complaint Form, an individual should provide their contact information, detailed descriptions of the incidents, including dates, times, locations, and the names of involved parties. It's essential to be as specific and thorough as possible.
The purpose of the Discrimination/Harassment Complaint Form is to document incidents of discrimination or harassment, facilitate investigations, and implement measures to address and prevent such behaviors within the organization.
The form typically requires the complainant's personal details, the nature of the discrimination or harassment, a description of the incident(s), and any witnesses or evidence that may support the claim.
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