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Executive Order No. 1058 Attachment 1 NOTE TO SUPERVISORS AND MANAGERS: UPON RECEIPT OF THIS FORM, YOU ARE REQUIRED TO IMMEDIATELY DELIVER IT TO THE ASSOCIATE VICE PRESIDENT, HUMAN RESOURCES & PAYROLL
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How to fill out complaint of retaliation for

01
Start by gathering all relevant information related to the retaliation incident, including dates, times, and any documentation or evidence you have.
02
Identify the person or entity you believe is responsible for the retaliation and make sure to include their full name, position, and contact information.
03
Clearly state in the complaint the specific actions or behaviors that you believe constitute retaliation.
04
Explain in detail the events leading up to the retaliation incident, providing any necessary context or background information.
05
Include any witnesses or supporting evidence that can corroborate your claims of retaliation.
06
Clearly express the negative impact the retaliation has had on your personal or professional life.
07
End the complaint by stating the outcome or resolution you are seeking, such as disciplinary action against the individual or entity responsible.
08
Sign and date the complaint, and make copies for your records before submitting it to the appropriate authority or organization.

Who needs complaint of retaliation for?

01
Anyone who believes they have experienced retaliation in a professional or personal setting can file a complaint of retaliation.
02
This may include employees who have been subjected to retaliation by their employers or coworkers, individuals who have faced retaliation for reporting discrimination or harassment, or students who have experienced retaliation within an educational institution.
03
Filing a complaint of retaliation allows individuals to seek justice and hold those responsible accountable for their actions.
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Complaint of retaliation is for reporting any acts of retaliation or discrimination in the workplace.
Any employee who has experienced retaliation or discrimination in the workplace is required to file a complaint.
To fill out a complaint of retaliation, the employee must provide detailed information about the incident, including dates, witnesses, and any supporting evidence.
The purpose of a complaint of retaliation is to address and stop any acts of retaliation or discrimination in the workplace.
The complaint must include details about the incident, names of individuals involved, dates, and any supporting evidence.
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