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North Kit sap School District Discrimination/Harassment Incident Report Form (Optional form to be used with Policies 3207, 3210, 5010, 5270 & 6590) The purpose of this form is to gather data on complaints
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How to fill out discrimination harassment incident report

How to fill out a discrimination harassment incident report:
01
Begin by providing your personal information, such as your name, job title, and contact details. This will help identify you as the person submitting the report.
02
Clearly state the date and time of the incident in question. Be as specific as possible to establish an accurate timeline.
03
Describe the incident in detail. Include any relevant information, such as location, individuals involved, and any witnesses present. Use objective language and avoid embellishment or personal opinions.
04
Document any physical evidence, such as photographs or videos, if available. This can support your report and provide additional context.
05
Explain the impact the incident has had on you. Describe your emotional state, any physical or mental distress experienced, and any disruption to your work or daily life.
06
Provide any additional documentation or evidence that supports your claim, such as emails, text messages, or other correspondence related to the incident.
07
If you have reported the incident to a supervisor or HR department previously, include details of these previous reports to demonstrate a pattern or lack of action taken.
08
Finally, sign and date the incident report to acknowledge the accuracy and truthfulness of the information provided.
Who needs a discrimination harassment incident report:
01
Victims of discrimination or harassment who wish to formally document and report the incident.
02
Organizations or employers who are committed to addressing and resolving issues related to discrimination and harassment.
03
Human Resources departments within companies, as they often handle and investigate such reports.
Please note that while these guidelines can be used as a general reference, it is important to follow any specific instructions or policies provided by your organization when filling out a discrimination harassment incident report.
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