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ADMINISTRATIVE OFFICE OF THE COURTS FAIR PRACTICES DEPARTMENT Maryland Judicial Center 187 Harry S. Truman Parkway 5th floor Annapolis, MD 21401Complaint Form (Discrimination/Harassment/Retaliation)
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To fill out a complaint of discrimination/harassment/retaliation form, follow these steps:
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- Start by providing your personal information, including your name, contact information, and job title.
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- Specify the type of discrimination, harassment, or retaliation you experienced, providing as many details as possible.
04
- Describe the incidents or behaviors that led to your complaint, specifying dates, locations, and individuals involved.
05
- Include any evidence or supporting documentation, such as emails, photos, or witness statements.
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- Note any actions you have taken so far to address the issue, such as reporting it to your supervisor or HR department.
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- Indicate your desired outcome or resolution for the complaint.
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- Sign and date the form.
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- Submit the complaint form to the appropriate authority or department, as directed by your company's policies or procedures.

Who needs complaint of discriminationharassmentretaliation form?

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The complaint of discrimination/harassment/retaliation form is required by individuals who have experienced any form of discrimination, harassment, or retaliation in the workplace. This includes employees, job applicants, contractors, and volunteers who believe they have been subjected to unfair treatment or unlawful actions based on protected characteristics such as race, sex, age, religion, disability, or any other legally protected status.
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Complaint of discrimination/harassment/retaliation form is a form designed for individuals to report incidents of discrimination, harassment, or retaliation in the workplace or other settings.
Any individual who has experienced or witnessed discrimination, harassment, or retaliation is required to file a complaint using the form.
To fill out the form, the individual must provide detailed information about the incident, including dates, times, locations, and individuals involved. They must also provide any evidence or witnesses that support their claim.
The purpose of the form is to document incidents of discrimination, harassment, or retaliation and to enable the organization to investigate and address the issue.
Information such as the nature of the incident, individuals involved, dates, times, locations, witnesses, and any supporting evidence must be reported on the form.
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