Get the free CG-5350. Anti-Harassment Policy Hate Incident Report Form
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DEPARTMENT OF HOMELAND SECURITY
U.S. COAST GUARDANTIHARASSMENT POLICY HATE INCIDENT REPORT FORM
Date/Time of Alleged Hate Incident:
Location of Incident:
Bias Motivation:
RaceEthnicity/National OriginAgeGenderSexual
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How to fill out cg-5350 anti-harassment policy hate
How to fill out cg-5350 anti-harassment policy hate
01
To fill out the CG-5350 Anti-Harassment Policy Hate form, follow these steps:
02
Start by providing your personal information, including your name, contact details, and organization.
03
Indicate the date on which you are filling out the form.
04
Specify the type of incident that occurred (harassment or hate-related).
05
Describe the incident in detail and provide any supporting evidence or witnesses, if available.
06
If the incident involves a specific individual, provide their name and contact information.
07
Explain the impact of the incident on you or others affected by it.
08
Indicate whether you have reported this incident previously and if any actions were taken.
09
Sign and date the form to certify its accuracy.
10
Submit the filled-out form to the designated authority or department responsible for handling such cases.
11
Keep a copy of the completed form for your records.
Who needs cg-5350 anti-harassment policy hate?
01
The CG-5350 Anti-Harassment Policy Hate form is needed by individuals who have experienced or witnessed incidents of harassment or hate-related behavior. This form allows them to formally report the incident and provide details that can help authorities address the situation appropriately. It is applicable to victims, witnesses, or anyone who wants to contribute to maintaining a safe and inclusive environment by reporting such incidents.
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