Get the free Discrimination Grievance Intake Form - umt

This form is used to file a complaint of discrimination with the Equal Opportunity and Affirmative Action Office at the University, allowing individuals to describe their allegations and seek resolution.

How to fill out discrimination grievance intake form

How to fill out Discrimination Grievance Intake Form

1. Begin by entering your full name in the designated field.
2. Provide your contact information, including phone number and email address.
3. Fill out the date of the incident in the appropriate section.
4. Describe the discriminatory incident in detail, including location and circumstances.
5. List any witnesses to the incident with their contact information, if available.
6. Include any relevant documentation or evidence that supports your grievance.
7. Indicate the specific form of discrimination you experienced (e.g., race, gender, age).
8. Sign and date the form to confirm that the information is accurate.
9. Submit the completed form to the designated office or individual, following the submission guidelines.

Who needs Discrimination Grievance Intake Form?

1. Individuals who have experienced discrimination in the workplace, educational institutions, or other environments.
2. Employees seeking to report discriminatory practices or policies.
3. Students facing discrimination based on their identity or background.
4. Anyone who feels their rights have been violated regarding equal treatment.

For pdfFiller’s FAQs

What is Discrimination Grievance Intake Form?

The Discrimination Grievance Intake Form is a document that allows individuals to formally report incidents of discrimination they have experienced or witnessed.

Who is required to file Discrimination Grievance Intake Form?

Any individual who feels they have been subjected to discriminatory practices or behaviors, including employees, students, or program participants, is required to file this form.

How to fill out Discrimination Grievance Intake Form?

To fill out the Discrimination Grievance Intake Form, individuals should provide their personal information, describe the incident of discrimination, state the individuals involved, and include any relevant evidence or documentation.

What is the purpose of Discrimination Grievance Intake Form?

The purpose of the Discrimination Grievance Intake Form is to document complaints of discrimination, initiate an investigation, and ensure that appropriate actions are taken to address the grievances.

What information must be reported on Discrimination Grievance Intake Form?

Essential information that must be reported includes the complainant's contact information, details of the discriminatory incident, date and location of the occurrence, names of individuals involved, and any witnesses or supporting documentation.