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This document serves as a questionnaire for members to report discrimination or harassment they have experienced, detailing contact information, specifics of the complaint, and potential witnesses.
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How to fill out member discrimination or harassment

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How to fill out Member Discrimination or Harassment Complaint Questionnaire

01
Read the instructions carefully before starting.
02
Fill out your personal details, including your name, contact information, and membership ID.
03
Provide a detailed description of the incident, including dates, locations, and any individuals involved.
04
Document any evidence you have, such as emails, photos, or witness statements.
05
Indicate how the incident has affected you personally or professionally.
06
Sign and date the questionnaire to confirm the information is accurate.
07
Submit the completed questionnaire following the provided guidelines.

Who needs Member Discrimination or Harassment Complaint Questionnaire?

01
Any member who has experienced discrimination or harassment within the organization.
02
Individuals seeking to report incidents of unfair treatment or hostility.
03
Members who want to ensure their concerns are formally documented and addressed.
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What to Include in the Formal Complaint. Your discrimination complaint must contain the following: Your name, address, and telephone number; A short description of the events that you believe were discriminatory (for example, you were terminated, demoted, harassed);
For example, you might write: “I am writing to formally file a complaint regarding harassment I have experienced in the workplace. This complaint is directed against [Name of individual(s)], whose behaviour has created a hostile and unproductive work environment for me.”
Discrimination is when your employer or coworkers treat members of a protected class unfairly due to their membership in that class. Harassment is a form of discrimination that involves adverse actions targeted towards an individual due to their membership in a protected class that creates a hostile work environment.
Information To Include in Your Letter Give the basics. Tell your story. Explain how you want to resolve the problem. Describe your next steps. Send your complaint letter. [Your Mailing Address] [Your City, State, Zip Code] [Your email address]
If you think you've been harassed at work, you should raise the issue with your employer. You can raise the problem informally or formally. Anyone can report a harassment issue they've seen or heard at work, even if it's not directed at them.
It includes inappropriate comments, offensive jokes, unwelcome physical contact, intimidation, and even exclusion from important meetings or opportunities. Under California law, harassment is any unwelcome conduct based on a person's protected status that creates a hostile, intimidating, or abusive environment.
Customers who are direct and clear in their dissatisfaction, may use phrases like: 'I'm not happy' 'I'm very unhappy' 'I cannot accept this' 'I'm really angry/annoyed' 'I'm confused' 'I'm tired of..' 'I want to make a complaint' 'I want to speak to a manager/supervisor/team leader'

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It is a formal document used to report incidents of discrimination or harassment within an organization, gathering detailed information from the complainant.
Any member of the organization who believes they have experienced or witnessed discrimination or harassment is encouraged to file the questionnaire.
Fill out the questionnaire by providing personal details, a description of the incident, and relevant dates, along with any supporting evidence.
The purpose is to document incidents of discrimination or harassment to investigate the claims and take appropriate actions to ensure a safe environment.
The questionnaire should report the involved parties' names, details of the incident, dates, witnesses, and any other pertinent information to support the claim.
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