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DISCRIMINATION/HARASSMENT COMPLAINT FORM Name of Complainant Date form completed Department Home Phone Work Phone 1. Charge of discrimination/harassment based on: (Check all that apply) Race/Color

How to fill out discriminationharassment complaint form name

How to fill out a discrimination/harassment complaint form:

1. Start by reading the instructions: Before filling out the form, carefully read the instructions provided. This will guide you on what information to include and any specific requirements.
2. Provide your personal information: Begin the form by providing your full name, contact details, and any other requested personal information. This helps the relevant authorities to identify and contact you regarding the complaint.
3. Describe the incident: In this section, provide a detailed description of the discrimination or harassment incident you experienced or witnessed. Include specific details such as dates, times, locations, and names of individuals involved. Be concise but comprehensive when explaining the incident.
4. Indicate the alleged basis of discrimination/harassment: Specify the grounds of the alleged discrimination or harassment. This can include race, religion, gender, age, disability, or any other protected characteristic. Ensure that you accurately identify the basis of your complaint.
5. Mention witnesses, if any: If there were any witnesses to the incident, provide their names and contact details. Witness statements can strengthen your case and provide additional evidence.
6. Attach supporting documents: If you have any supporting documents or evidence, make sure to attach them to the complaint form. This can include emails, text messages, photographs, or any other relevant material. Always keep copies for yourself.
7. Sign and date the form: Once you have completed filling out the form, read it over to ensure all the information is accurate and complete. Sign and date the form to acknowledge that the information provided is true to the best of your knowledge.

Who needs a discrimination/harassment complaint form:

1. Employees: Any employee who has experienced or witnessed discrimination or harassment in the workplace may need to fill out a discrimination/harassment complaint form. This includes situations where an employee is subjected to unfair treatment based on their race, gender, religion, sexual orientation, or any other protected characteristic.
2. Students: Students who encounter discrimination or harassment in educational institutions should also utilize a discrimination/harassment complaint form. This can help initiate an investigation and ensure appropriate action is taken.
3. Consumers: If a customer experiences discrimination or harassment by a business or service provider, filing a complaint using a discrimination/harassment complaint form can help ensure their rights are protected and the issue is addressed.

Remember, it is important to consult with an attorney or seek advice from the appropriate authorities when filling out a discrimination/harassment complaint form, as they can provide guidance on the specific process and legal requirements.

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What is discrimination/harassment complaint form name?

The discrimination/harassment complaint form name is the Equal Employment Opportunity Commission (EEOC) Form 5.

Who is required to file discrimination/harassment complaint form name?

Any individual who believes they have been discriminated against or harassed in the workplace is required to file the discrimination/harassment complaint form name.

How to fill out discrimination/harassment complaint form name?

To fill out the discrimination/harassment complaint form name, the individual must provide detailed information about the alleged discrimination or harassment, including dates, times, and individuals involved.

What is the purpose of discrimination/harassment complaint form name?

The purpose of the discrimination/harassment complaint form name is to allow individuals to report instances of discrimination or harassment in the workplace so that the EEOC can investigate and take appropriate action.

What information must be reported on discrimination/harassment complaint form name?

The discrimination/harassment complaint form name must include information such as the nature of the discrimination or harassment, the names of individuals involved, and any relevant dates and locations.