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HARASSMENT/DISCRIMINATION COMPLAINT FORM FOR STUDENTS SUMMARY OF DECISION of Dignity Act Coordinator/Building Administrator and Action Taken: Action Taken by Program Director (if applicable): Action
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How to fill out harassment discrimination complaint form

How to fill out a harassment discrimination complaint form?
01
Start by carefully reading the instructions provided on the form. This will give you a clear understanding of what information is required and how to proceed.
02
Begin by providing your personal details such as your name, contact information, and any other relevant identifying information as specified on the form.
03
In the next section, describe the details of the harassment or discrimination incident(s) you experienced. Be as specific as possible, including dates, times, locations, and the individuals involved, if known.
04
If there were any witnesses to the incident(s), provide their contact information and a brief description of what they witnessed. This can strengthen your case and provide additional evidence.
05
Discuss any steps you have taken to address the harassment or discrimination, such as reporting it to your supervisor or HR department. Include any pertinent information regarding these actions.
06
If applicable, attach any supporting documents that help substantiate your claims, such as emails, text messages, or photographs. Make sure to clearly label and organize these attachments.
07
Review the form carefully before submitting it, ensuring that all sections have been completed accurately. Double-check for any errors or missing information.
Who needs a harassment discrimination complaint form?
01
Employees who have experienced harassment or discrimination in the workplace can use the form to formally document their complaint and seek resolution.
02
Job applicants who believe they have been subjected to harassment or discrimination during the application process may also need to use a harassment discrimination complaint form.
03
Individuals who have witnessed incidents of harassment or discrimination and wish to report it on behalf of someone else may be required to use this form as well.
Remember, every organization may have its own specific procedures and forms for reporting harassment and discrimination. It is essential to consult your company's policies and guidelines or seek legal advice if needed.
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