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Harassment/Discrimination/Retaliation ReportPlease complete this form in its entirety. This will assist the Director of Employee Relations in better understanding, addressing, and resolving your report.
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How to fill out harassmentdiscriminationretaliation report template

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How to fill out harassmentdiscriminationretaliation report

01
Gather all relevant information and evidence related to the incident, such as dates, times, locations, witnesses, and any supporting documents.
02
Write a detailed and concise description of the incident, including what happened, who was involved, and the impact it had on you.
03
Clearly state the type of harassment, discrimination, or retaliation that occurred, providing specific examples if possible.
04
Follow your organization's procedures for reporting the incident. This may involve submitting a written report to your supervisor, HR department, or designated reporting authority.
05
Ensure that your report is factual, objective, and free from any personal biases or opinions.
06
Take note of any actions you have taken to address the situation before filing the report, such as talking to the alleged offender or seeking guidance from a trusted colleague or supervisor.
07
Keep a copy of the report for your own records and documentation purposes.
08
Cooperate fully with any investigation or follow-up actions initiated by your organization.
09
Follow up on the status of your report if necessary, and document any additional incidents or developments related to the initial incident.
10
Maintain confidentiality and avoid discussing the specifics of the report with individuals who do not have a legitimate need to know.

Who needs harassmentdiscriminationretaliation report?

01
Anyone who has experienced or witnessed harassment, discrimination, or retaliation in the workplace or any other environment may need to fill out a harassment, discrimination, or retaliation report. This includes employees, contractors, volunteers, interns, and even customers or clients who have been subjected to such behavior.

What is Harassment/Discrimination/Retaliation Report Form?

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A harassment, discrimination, and retaliation report is a formal documentation of any incidents involving harassment, discrimination, or retaliation in the workplace.
Any employee who witnesses, experiences, or is informed of harassment, discrimination, or retaliation must file a report.
The report should be filled out truthfully and completely, detailing the incident, individuals involved, and any supporting evidence.
The purpose of the report is to document and address incidents of harassment, discrimination, and retaliation in the workplace to ensure a safe and inclusive environment for all employees.
The report should include details of the incident, names of individuals involved, witnesses, any evidence, and the impact on the individual or work environment.
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