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REFERRAL FORM FOR INCIDENTS OF WORKPLACE SEXUAL
HARASSMENT AND SEXUAL ASSAULT OF FARMWORKERS
The mission of the Interagency Migrant Services Committee (MSC) is to improve the quality of
life of farmworkers,
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How to fill out referral form for incidents
How to fill out referral form for incidents
01
Obtain a copy of the referral form for incidents from the designated authority.
02
Gather all the necessary information related to the incident, such as date, time, location, and a detailed description of the incident.
03
Fill out the sections of the form that require personal details, including your name, contact information, and any relevant identification numbers.
04
Provide an account of the incident in the designated section, ensuring to include all pertinent details and any supporting evidence, if available.
05
If there were witnesses to the incident, provide their names and contact information in the appropriate section.
06
If applicable, indicate any injuries or damages that occurred as a result of the incident.
07
Double-check all the information filled out on the form for accuracy and completeness.
08
Sign and date the form to acknowledge that the information provided is true and accurate.
09
Submit the completed referral form to the designated authority or department responsible for handling incidents.
Who needs referral form for incidents?
01
Anyone who has witnessed or been involved in an incident that requires reporting or documentation needs a referral form for incidents. This form is often utilized by individuals, employees, or participants in various organizations or institutions.
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What is referral form for incidents?
Referral form for incidents is a document used to report and document any incidents or accidents that occur within an organization.
Who is required to file referral form for incidents?
Employees, contractors, or anyone who witnesses or is involved in an incident is required to file a referral form for incidents.
How to fill out referral form for incidents?
To fill out a referral form for incidents, one must provide detailed information about the incident such as date, time, location, description of the incident, involved parties, and any witnesses.
What is the purpose of referral form for incidents?
The purpose of referral form for incidents is to ensure that all incidents are properly documented, investigated, and addressed to prevent future occurrences.
What information must be reported on referral form for incidents?
The information that must be reported on referral form for incidents includes date, time, location, description of the incident, involved parties, witnesses, and any corrective actions taken.
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