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Discrimination/Harassment Complaint Information Form 1. Complainant Information: State your name and address:) Work Number: 2. Home/Cell Number: (() Telephone Number: () Respondent Information: Provide
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How to fill out discriminationharassment complaint information form

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How to Fill Out Discrimination/Harassment Complaint Information Form:

01
Begin by carefully reading the instructions provided on the form. Make sure you understand the purpose of the form and the information required.
02
Start by providing your personal details, such as your name, contact information, and any identification numbers requested.
03
Clearly state the date and time of the incident(s) of discrimination or harassment that you are reporting. Provide as much specific information as possible, including the location and any witnesses present.
04
Describe the nature of the discrimination or harassment in detail. Explain the actions, words, or behaviors that occurred, how they made you feel, and how they violated any applicable laws or policies.
05
If you have any evidence to support your claims, such as documents, emails, or photographs, mention them and include copies or reference numbers where necessary.
06
Indicate any previous actions you have taken regarding the incident, including whether you have reported it to any other authorities or followed any internal complaint procedures.
07
If there were any witnesses to the incident, provide their names and contact information. Witnesses can play a crucial role in corroborating your account.
08
If you have suffered any physical, emotional, or financial harm as a result of the discrimination or harassment, specify the type of harm and any related expenses or damages you have incurred.
09
If there is any additional information or supporting documentation that you believe is relevant to your complaint, include it or mention it in this section.
10
Finally, sign and date the form to certify that the information provided is accurate and complete.

Who Needs Discrimination/Harassment Complaint Information Form:

01
Employees: If you are an employee who has experienced discrimination or harassment in the workplace, you may need to fill out a discrimination/harassment complaint information form.
02
Students: If you are a student who has faced discrimination or harassment at school or university, you may be required to complete a discrimination/harassment complaint information form.
03
General Public: Individuals who have experienced discrimination or harassment in various settings, such as public accommodations or government agencies, may also need to fill out a discrimination/harassment complaint information form as part of the reporting process.
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Discrimination/harassment complaint information form is a document used to report instances of discrimination or harassment in the workplace.
Employees who have experienced or witnessed discrimination or harassment in the workplace are required to file the form.
The form typically requires the individual to provide details about the incident, including date, time, location, individuals involved, and a description of the incident.
The purpose of the form is to allow employers to investigate and address instances of discrimination or harassment within the workplace.
Information such as date, time, location, individuals involved, and a detailed description of the incident must be reported on the form.
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