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COMMONWEALTH OF PENNSYLVANIA SEXUAL MISCONDUCT/ABUSE DISCLOSURE INFORMATION REQUEST under Act 168 of 2014 Hiring school entity or independent contractor submits this form to current and/or former employer s who provided affirmative responses to the sexual misconduct and/or abuse questions on the Commonwealth of Pennsylvania Sexual Misconduct/Abuse Disclosure Release Form To Name of Current or Former Employer Street Address City State Zip Telephone Number Fax Number Email Contact Person Title...
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How to fill out sexual misconductabuse disclosure information

01
Gather all necessary documents and information related to the sexual misconduct/abuse incident.
02
Start by providing your personal information such as name, contact details, and any relevant identification numbers.
03
Specify the date and location where the incident occurred.
04
Describe the nature of the sexual misconduct/abuse in detail, including the actions involved, the individuals/parties involved, and any witnesses present.
05
Include any supporting documentation or evidence such as photographs, videos, or messages that may verify the incident.
06
If you have reported the incident to the authorities or any organization, provide the details of those reports.
07
Answer any additional questions or provide any additional information requested in the disclosure form.
08
Review and double-check all the information provided before submitting the disclosure form.
09
Submit the completed sexual misconduct/abuse disclosure information form according to the specified instructions or through the designated channels.
10
Keep a copy of the submitted form and any supporting documents for your records.

Who needs sexual misconductabuse disclosure information?

01
Sexual misconduct/abuse disclosure information is typically required by organizations, institutions, or authorities investigating such incidents.
02
Victims or survivors of sexual misconduct/abuse may need to provide this information to seek legal action, file complaints, or access support services.
03
Employers may require employees to disclose any incidents of sexual misconduct/abuse that occurred within the workplace.
04
Educational institutions may request this information from students or staff to ensure a safe learning environment.
05
Counselors, therapists, or healthcare professionals may ask for disclosure information to provide appropriate care and support.
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Sexual misconduct/abuse disclosure information refers to reporting instances of sexual harassment or abuse within an organization.
All employees and volunteers within an organization are required to file sexual misconduct/abuse disclosure information.
One can fill out sexual misconduct/abuse disclosure information by providing details of the incident, involved parties, and any supporting evidence.
The purpose of sexual misconduct/abuse disclosure information is to address and prevent incidents of sexual harassment or abuse within the organization.
Information such as date, time, location, individuals involved, and a description of the incident must be reported on sexual misconduct/abuse disclosure information.
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