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DISCRIMINATION GRIEVANCE INTAKE FORM Equal Employment Opportunity and Affirmative Action Office If you are a faculty member, student, staff member, applicant for employment or admission to the University,

How to fill out discrimination grievance intake form

How to fill out discrimination grievance intake form:

1. Start by providing your personal information: Fill in your full name, contact information, and any other required identifying details.
2. Specify the date and location of the incident: Indicate when and where the discriminatory incident occurred. This helps establish the context for your grievance.
3. Describe the incident in detail: Provide a thorough account of what happened, including specific actions, behaviors, or statements that were discriminatory. Be as concise and specific as possible.
4. Identify any witnesses or evidence: If there were any witnesses to the incident, include their names and contact information. Additionally, if you have any evidence, such as emails, photos, or videos, attach or provide references to them.
5. State the impact of the incident on you: Explain how the discriminatory incident has affected you personally, whether it be emotionally, professionally, or otherwise. Be sure to articulate the negative consequences you have experienced.
6. Specify the desired resolution: Clearly state what you hope to achieve by filing the grievance, such as seeking an apology, compensation, policy changes, or disciplinary actions.

Who needs discrimination grievance intake form:

1. Employees facing discrimination: Employees who have experienced discrimination in the workplace can use the discrimination grievance intake form to formally report the incident and seek resolution.
2. Students experiencing discrimination: Students who have encountered discrimination at educational institutions, such as schools or universities, can utilize the discrimination grievance intake form to initiate an investigation.
3. Individuals encountering discrimination in public services: If someone has faced discrimination when accessing public services, like healthcare, housing, or transportation, they can fill out the discrimination grievance intake form to address the issue.

Note: The availability and specific usage of a discrimination grievance intake form may vary depending on the organization, jurisdiction, or institution. It is advisable to consult the relevant policies or guidelines to ensure accurate completion of the form.

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What is discrimination grievance intake form?

The discrimination grievance intake form is a document used to report instances of discrimination in a formal manner.

Who is required to file discrimination grievance intake form?

Individuals who have experienced discrimination are required to file a discrimination grievance intake form.

How to fill out discrimination grievance intake form?

The discrimination grievance intake form can be filled out by providing details about the discrimination incident, including dates, times, and witnesses.

What is the purpose of discrimination grievance intake form?

The purpose of the discrimination grievance intake form is to document and address instances of discrimination within an organization.

What information must be reported on discrimination grievance intake form?

Information such as the nature of the discrimination, individuals involved, and any evidence or documentation should be reported on the discrimination grievance intake form.