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Clear Form Executive Order 1089 Attachment No. 1 Print Form COMPLAINT FORM FOR DISCRIMINATION/HARASSMENT/RETALIATION COMPLAINTS Instructions: This complaint form is for use by individuals who are

How to fill out discriminationharassment complaint form

How to fill out a discrimination/harassment complaint form:

1. Begin by reading the instructions on the form carefully. Make sure you understand the purpose of the form and the information required.
2. Start by providing your personal details. This includes your full name, contact information, and any other relevant identification details requested.
3. Specify the nature of the discrimination or harassment you experienced. Use clear and concise language to describe the incidents, including dates, times, and locations.
4. Identify the individuals or entities involved in the discriminatory or harassing behavior. It is essential to provide their names, job titles, or any other applicable identifying information.
5. Detail any witnesses or evidence that support your complaint. If there were people who witnessed the incidents, include their names and contact information. Additionally, gather any documents, emails, photographs, or other evidence that strengthens your case.
6. Explain any actions you have taken to address the issue before submitting the complaint. Have you attempted to resolve the matter informally? If so, mention the steps taken and the outcomes.
7. If there are any specific policies, protocols, or laws that relate to the discrimination or harassment, mention them in your complaint. This shows that you are informed and knowledgeable about your rights.
8. Make sure to sign and date the complaint form. If there are any additional documents required, such as supporting evidence or witness statements, ensure they are attached.

Who needs a discrimination/harassment complaint form:

1. Individuals who have experienced discrimination or harassment in any aspect of their life, such as the workplace, education, housing, or public services.
2. Employees who have faced discrimination or harassment in the workplace from colleagues, supervisors, or even clients.
3. Students who have been subjected to discriminatory or harassing behavior by their peers, teachers, or school administrators.
4. Individuals who have experienced discrimination or harassment while seeking housing, applying for loans, or accessing public services.
5. Any person who believes their civil rights have been violated due to discrimination or harassment based on characteristics such as race, gender, religion, disability, age, sexual orientation, or any other protected class.

For pdfFiller’s FAQs

What is discrimination/harassment complaint form?

Discrimination/harassment complaint form is a document used to report instances of discrimination or harassment in the workplace.

Who is required to file discrimination/harassment complaint form?

Any individual who has experienced or witnessed discrimination or harassment in the workplace is required to file a discrimination/harassment complaint form.

How to fill out discrimination/harassment complaint form?

To fill out the discrimination/harassment complaint form, the individual must provide detailed information about the incident, including date, time, parties involved, and any supporting evidence.

What is the purpose of discrimination/harassment complaint form?

The purpose of discrimination/harassment complaint form is to document and address incidents of discrimination or harassment in the workplace.

What information must be reported on discrimination/harassment complaint form?

The discrimination/harassment complaint form must include information about the incident, parties involved, date, time, location, and any witnesses or evidence.

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