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HARASSMENT INCIDENT REPORT FORM 1. 2. FORM 139-A INSTRUCTIONS FOR DISTRIBUTION To be completed by Principal, designate, or supervisor. Distribute as follows: FOR STUDENT: Initiating student s OSR
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How to fill out harassment incident report form

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How to fill out a harassment incident report form:

01
Begin by providing your personal information, including your name, contact information, and job title or student status. This information is crucial for identifying the victim or the person reporting the incident.
02
Specify the date and time of the incident. Accuracy in capturing the exact date and time is important for reference and investigation purposes.
03
Describe the details of the incident in a clear and concise manner. Include the location, any witnesses present, and a detailed account of what happened. Be sure to avoid biased language or making assumptions.
04
Indicate whether this is a first-time incident or if it has happened before. If there were any previous reports or actions taken, it is important to mention them as well.
05
Provide any physical evidence you may have, such as photographs, emails, text messages, or any other documentation related to the incident. These materials can support your claim and aid in the investigation process.
06
Identify any additional individuals involved in the incident. This includes the alleged harasser and any potential witnesses. Include their names, job titles, and contact information if known.
07
Note any actions you have taken to address the harassment prior to filing the incident report. This can include speaking to supervisors, human resources, or any other relevant parties.
08
Sign and date the form to acknowledge that the information provided is accurate and complete.
09
Submit the completed form to the appropriate authority or department specified in your organization's policies or guidelines.

Who needs a harassment incident report form:

01
Employees: Harassment incident report forms are essential for employees who experience or witness workplace harassment. It allows them to document and report such incidents to the relevant authorities or departments within their organization.
02
Students: Educational institutions often provide harassment incident report forms for students who experience harassment within the campus or online. This enables students to report the incidents to designated personnel and initiate the necessary actions.
03
Organizations: Many organizations, both public and private, utilize harassment incident report forms as part of their policies and procedures. This helps to establish a formal process for reporting and addressing incidents of harassment within the workplace or educational setting.
04
Organizations providing services: Organizations that provide services to the public, such as hospitals or social service agencies, may also use harassment incident report forms. These forms assist in documenting and addressing harassment incidents that occur in the course of service delivery.
Overall, harassment incident report forms are necessary for individuals who experience or witness harassment to formally document and report these incidents to the appropriate authorities or departments for investigation and resolution.
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The harassment incident report form is a document used to report incidents of harassment in the workplace.
Employees who have experienced or witnessed harassment in the workplace are required to file the harassment incident report form.
To fill out the harassment incident report form, employees must provide detailed information about the incident, including the date, time, location, and individuals involved.
The purpose of the harassment incident report form is to document and address incidents of harassment in the workplace.
The harassment incident report form must include information such as the nature of the harassment, any witnesses, and any actions taken by the employer.
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