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Harassment/Discrimination Report and Intake Form Report Date: Report Take By: Name of individual reporting the incident: Phone: Address: Email: Individual reporting the incident is: Student Faculty
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How to fill out harassmentdiscrimination report and intake

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How to fill out a harassment and discrimination report and intake:

01
Begin by obtaining the necessary forms or templates for reporting harassment and discrimination. These forms may be provided by your employer, educational institution, or a relevant authority such as a human resources department or an equal opportunity office.
02
Familiarize yourself with the form and any instructions or guidelines provided. Read through them carefully to understand the required information and the process of reporting.
03
Start by providing your personal details, such as your name, contact information, and any identification numbers or employee/student ID numbers that may be required.
04
Clearly describe the nature of the harassment or discrimination you experienced or witnessed. Be as detailed as possible, including dates, times, locations, and any relevant individuals involved. Provide a clear and concise summary of the incident(s).
05
If applicable, include any evidence or supporting documentation you may have, such as emails, text messages, photographs, or witness statements. These materials can strengthen your case and provide additional context for your report.
06
Indicate any actions you have already taken, such as discussing the issue with a supervisor, seeking advice from a counselor, or documenting previous incidents. This shows that you have taken steps to address the situation and may help the responsible parties understand the severity of the issue.
07
Specify your desired outcome or resolution. This could include actions you would like to see taken, such as disciplinary measures for the offender, changes in policies or procedures, or personal support or counseling services.
08
Finally, sign and date the report. By doing so, you certify that the information provided is true and accurate to the best of your knowledge.

Who needs a harassment and discrimination report and intake?

Harassment and discrimination reports and intake forms may be necessary for individuals who have experienced or witnessed incidents of harassment or discrimination in various settings such as workplaces, schools, colleges, universities, and even public places. It is important for victims or witnesses of such misconduct to have a formal mechanism in place to report and document the incidents, so appropriate investigation and action can be taken by the relevant authorities. These reports and intake processes are utilized to ensure fairness, protect individuals' rights, and maintain a safe and inclusive environment for everyone.
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Harassment/discrimination report and intake is a formal process for individuals to report instances of harassment or discrimination in the workplace or other settings.
Any individual who has experienced or witnessed harassment or discrimination and is employed or involved in the organization.
The report can be filled out online or in person, detailing the specifics of the incident and providing any relevant documentation or evidence.
The purpose is to document and address instances of harassment or discrimination, create a record of the incident, and take appropriate action to prevent future occurrences.
The report should include details of the incident, names of individuals involved, witnesses, dates, times, and any supporting evidence.
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