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COMPLAINT OF HARASSMENT, VIOLENCE OR THREATS OF VIOLENCE AGAINST SELF OR OTHERS Please print: Name of Person Filing Complaint Date If complaint is being filed by parent/legal guardian, please provide
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How to fill out complaint of harassment

01
Start by gathering all the necessary information related to the harassment incident. This may include names, dates, locations, descriptions, and any supporting evidence such as emails, messages, or witnesses.
02
Format your complaint in a clear and concise manner. Begin with a formal salutation and clearly state your intention to file a complaint of harassment. Provide a brief overview of the incident, emphasizing the key details and impact it has had on you.
03
Include specific details about the alleged harasser(s), such as their name, position, and relationship to you. If there were any witnesses to the incident, mention their names and contact information as well.
04
Describe the harassment incident in explicit detail, focusing on the specific actions or behaviors that were inappropriate or offensive. It is important to stick to facts and avoid exaggeration, while still conveying the emotional distress or harm caused by the harassment.
05
Clearly state the effects of the harassment on your personal and professional life, including any physical or psychological harm, deterioration of work performance, or loss of opportunities. Use specific examples to highlight the extent of the impact.
06
If applicable, mention any previous attempts to address the issue informally, such as discussing it with the alleged harasser directly or reporting it to a supervisor. This demonstrates that you have made efforts to resolve the situation without formal intervention.
07
Express your desire for a prompt and thorough investigation into the matter. Mention any specific action or resolution you are seeking, such as disciplinary measures against the harasser, counseling or training for employees, or changes to policies and procedures to prevent future incidents.
08
Finally, sign and date the complaint and make copies for your own records. Consider submitting the complaint through the appropriate channels, such as your company's Human Resources department or a relevant government agency, as per the guidelines or policies in place.
Who needs a complaint of harassment?
01
Employees who have experienced harassment in the workplace.
02
Individuals who have been subjected to harassment in a public setting, such as educational institutions, healthcare facilities, or public spaces.
03
Victims of harassment in any other personal or professional settings where applicable laws or policies protect against such behavior.
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What is complaint of harassment?
A complaint of harassment is a formal document that details instances of harassment or discrimination in the workplace or other setting.
Who is required to file complaint of harassment?
Anyone who has been the victim of harassment or discrimination is able to file a complaint of harassment.
How to fill out complaint of harassment?
To fill out a complaint of harassment, one must provide detailed information about the incidents of harassment, including dates, times, and individuals involved.
What is the purpose of complaint of harassment?
The purpose of a complaint of harassment is to bring awareness to instances of harassment, hold perpetrators accountable, and create a safe and inclusive environment.
What information must be reported on complaint of harassment?
Information such as the nature of the harassment, dates of incidents, individuals involved, and any witnesses should be reported on a complaint of harassment.
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