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ETHICS CHARGE STATEMENT
NOTE: This form is supplied by the American Board of Industrial Hygiene (ABH) to individuals, groups or
organizations (complainants) who want to submit an ethics complaint
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How to fill out ethics charge statement

How to Fill Out an Ethics Charge Statement:
01
Begin by obtaining a copy of the ethics charge statement form. This form is typically available through your organization's ethics office or human resources department.
02
Read through the instructions provided on the form carefully. Familiarize yourself with the required information and any specific guidelines for filling out the form.
03
Start by providing your personal details, such as your name, contact information, and job title. It is important to accurately identify yourself as the individual filing the ethics charge.
04
Clearly state the name of the person or organization against whom you are filing the ethics charge. Specify their job title or position, if applicable.
05
Explain the nature of the ethics charge in detail. Provide a clear and concise account of the specific unethical behavior or violation you are reporting. Use objective language and avoid personal biases or assumptions.
06
Include any supporting evidence or documentation that you may have. This could include emails, photographs, written statements from witnesses, or any other relevant materials that support your ethics charge.
07
Clearly state your desired outcome or resolution. This may involve seeking disciplinary action, an investigation, or other corrective measures to address the unethical behavior.
08
Sign and date the ethics charge statement form to validate your submission. Keep a copy of the completed form for your records.
09
Submit the ethics charge statement to the appropriate department or individual as indicated on the form instructions. Follow any additional steps or procedures outlined by your organization, if applicable.
10
Review the ethics policy or guidelines provided by your organization to ensure you understand the process and protections in place for individuals reporting ethics violations.
Who Needs an Ethics Charge Statement?
01
Employees who have witnessed or have evidence of unethical behavior within their organization may need to file an ethics charge statement.
02
Contractors, consultants, or individuals associated with an organization who have knowledge of unethical conduct may also need to use an ethics charge statement to report such behavior.
03
Additionally, if an individual believes they have been a victim of unethical behavior, they can utilize an ethics charge statement to make their complaint official and initiate the appropriate investigative processes.
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