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FY22Allegany College of MarylandSTUDENT & LEGAL AFFAIRS DISCRIMINATION GRIEVANCE/REPORT FORM NONDISCRIMINATION POLICY, ADA/504 POLICYThis form shall be submitted to the Dean of Student & Legal Affairs,
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Obtain a copy of the discrimination - grievance-report form from the relevant organization or department.
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Fill in your personal information accurately and completely, including your name, contact information, and any other required details.
03
Clearly identify the type of discrimination or grievance you are reporting, and provide a detailed description of the incident or situation.
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Include any supporting documentation or evidence that you have, such as witness statements or relevant emails.
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Sign and date the form to certify that the information provided is true and accurate.
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Submit the completed form to the appropriate individual or department as specified in the instructions.

Who needs discrimination - grievance-report form?

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Anyone who has experienced or witnessed discrimination or harassment in the workplace, school, or any other organization.
02
Individuals who believe they have been treated unfairly or unjustly based on their race, gender, age, disability, or any other protected characteristic.
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Discrimination-grievance report form is a document used to report any instances of discrimination or grievances within an organization.
Any individual who has experienced or witnessed discrimination or grievances in the workplace is required to file the form.
The form typically requires details of the incident, names of involved parties, date and time of the incident, and any supporting evidence.
The purpose of the form is to provide a mechanism for reporting and addressing incidents of discrimination or grievances in a systematic manner.
Information such as details of the incident, names of involved parties, date and time of the incident, and any supporting evidence must be reported on the form.
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