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Internal Discrimination/Harassment Complaint Form Virginia Commonwealth University ? Office for Institutional Equity 817 South Cathedral Place. ? Richmond, VA 23284-3022 ? (804) 828-1347 ? Fax (804)
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How to fill out discriminationharassment complaint form

How to Fill Out a Discrimination/Harassment Complaint Form:
01
Begin by reading the instructions: Carefully go through the instructions provided with the complaint form. Understand the purpose of the form, the process it initiates, and any specific requirements for filling it out.
02
Provide personal information: Start by providing your full name, contact details, and any other information requested to identify you. This ensures that the appropriate authorities can reach out to you regarding your complaint.
03
State the details of the discrimination/harassment incident: Clearly explain the specific incident or incidents that you experienced or witnessed. Include relevant dates, times, locations, and the individuals involved. Be as detailed and factual as possible, avoiding speculation or assumptions.
04
Describe the nature of the discrimination/harassment: Specify the type of discrimination or harassment you believe took place. This could include categories such as age, gender, race, religion, disability, sexual orientation, or any other protected characteristic based on local laws.
05
Provide supporting evidence: Attach any documentation or evidence you have that supports your complaint. This may include emails, text messages, photographs, witness statements, or any other relevant materials that substantiate your claims.
06
Identify any witnesses: If there were any witnesses to the incident, provide their names, contact details, and a brief description of what they observed. Witness testimony can be crucial in corroborating your account.
07
State the impact on you: Explain how the discrimination or harassment has affected you personally, professionally, emotionally, or physically. Detail any injuries, mental health issues, loss of job opportunities, or other negative repercussions as a result of the incident.
08
Review and sign the form: Carefully review the completed form to ensure that all required fields are filled in accurately. Sign and date the form, acknowledging that the information provided is true and accurate to the best of your knowledge.
Who needs a discrimination/harassment complaint form?
Anyone who has experienced or witnessed discrimination or harassment, whether it occurred in the workplace, in educational institutions, housing, public accommodations, or any other context where fair treatment is expected and protected by law, may need a discrimination/harassment complaint form. These forms are typically used to report incidents to the appropriate authorities or enforcement agencies responsible for addressing and investigating such complaints.
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What is discrimination/harassment complaint form?
The discrimination/harassment complaint form is a document used to report incidents of discrimination or harassment in the workplace or other settings.
Who is required to file discrimination/harassment complaint form?
Any individual who has experienced or witnessed discrimination or harassment is required to file the complaint form.
How to fill out discrimination/harassment complaint form?
The form must be filled out with detailed information about the incident, including dates, individuals involved, and any supporting evidence.
What is the purpose of discrimination/harassment complaint form?
The purpose of the form is to formally document and report instances of discrimination or harassment so that appropriate actions can be taken.
What information must be reported on discrimination/harassment complaint form?
Information such as the nature of the incident, dates, witnesses, and any supporting evidence must be reported on the form.
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