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COMMONWEALTH OF PENNSYLVANIA
SEXUAL MISCONDUCT/ABUSE DISCLOSURE RELEASE
(Pursuant to Act 168 of 2014)
Instructions
This standardized form has been developed by the Pennsylvania Department of Education,
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How to fill out sexual misconductabuse disclosure form
How to fill out sexual misconductabuse disclosure form
01
Begin by carefully reading the sexual misconduct/abuse disclosure form.
02
Gather all the necessary information and documentation required for the form such as personal details, dates, locations, and any supporting evidence.
03
Fill in the personal details section including your name, address, contact information, and any other relevant information.
04
Provide a detailed account of the sexual misconduct/abuse incident, including specific dates, times, locations, and any relevant details.
05
Attach any supporting evidence such as photographs, videos, audio recordings, or witness statements if available.
06
Review your completed form to ensure all sections are filled in accurately and completely.
07
Sign and date the form to certify that the information provided is true and accurate.
08
Make a copy of the completed form for your records before submitting it to the appropriate authority or organization.
09
Follow any additional instructions or guidelines provided by the authority regarding the submission of the form.
10
Keep a record of when and where you submitted the form and any subsequent communication regarding the matter.
Who needs sexual misconductabuse disclosure form?
01
Any individual who has experienced or witnessed sexual misconduct/abuse should fill out a sexual misconduct/abuse disclosure form.
02
The form may be required by institutions such as educational institutions, workplaces, or organizations that have policies in place to address incidents of sexual misconduct/abuse.
03
It is essential for those seeking to report and address such incidents to fill out this form to ensure a proper investigation and appropriate actions are taken.
04
Ultimately, anyone who wants to document and report an incident of sexual misconduct/abuse should complete the sexual misconduct/abuse disclosure form.
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What is sexual misconductabuse disclosure form?
The sexual misconduct/abuse disclosure form is a document used to report incidents of sexual misconduct or abuse. It typically gathers information related to alleged incidents and the individuals involved.
Who is required to file sexual misconductabuse disclosure form?
Individuals such as employees, volunteers, or administrators at organizations that work with vulnerable populations are often required to file the disclosure form, particularly if they witness or are aware of any incidents of sexual misconduct or abuse.
How to fill out sexual misconductabuse disclosure form?
To fill out the sexual misconduct/abuse disclosure form, individuals should provide accurate and comprehensive information about the incident, including details such as dates, locations, involved parties, and a description of what occurred.
What is the purpose of sexual misconductabuse disclosure form?
The purpose of the sexual misconduct/abuse disclosure form is to formally document and report instances of sexual misconduct or abuse, ensuring that appropriate action can be taken and helping to maintain a safe environment.
What information must be reported on sexual misconductabuse disclosure form?
Information that must be reported includes the names of the individuals involved, dates and times of the incidents, locations, a detailed description of the events, and any witnesses to the incidents.
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