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This form is intended for individuals to report incidents of harassment, discrimination, or retaliation within the workplace or educational environment. It collects complainant and respondent information, details about the incident, desired outcomes, and witness accounts to facilitate an investigation.
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How to fill out harassment discrimination and retaliation

01
Identify the applicable workplace policies regarding harassment, discrimination, and retaliation.
02
Gather relevant evidence, such as emails, texts, or witness statements that support your claim.
03
Fill out the complaint form provided by your organization, making sure to include all necessary details.
04
Clearly describe the incidents in chronological order, specifying dates, locations, and individuals involved.
05
Provide any additional documentation that may help support your claims.
06
Submit the completed form to the appropriate department, such as Human Resources.
07
Follow up with the department to ensure that your complaint is being processed.

Who needs harassment discrimination and retaliation?

01
Employees who feel they have been subjected to harassment or discrimination in the workplace.
02
Organizations that want to foster a safe and inclusive work environment.
03
Human Resources professionals responsible for addressing complaints of harassment and discrimination.
04
Legal representatives assisting clients with workplace discrimination and retaliation cases.
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Harassment discrimination is a behavior that targets an individual or group based on characteristics such as race, gender, or disability, creating a hostile environment. Retaliation refers to punitive actions taken against someone for reporting harassment or discrimination.
Individuals who experience harassment or discrimination at their workplace or in educational settings are required to file complaints. This includes employees, students, and in some cases, third parties who witness such behavior.
To fill out a complaint for harassment discrimination and retaliation, gather all relevant details, including dates, locations, descriptions of the incidents, and any witnesses. Complete the designated complaint form provided by the organization or agency handling such cases, and submit it according to their guidelines.
The purpose of addressing harassment discrimination and retaliation is to protect individuals from unfair treatment, promote a safe and respectful environment, and hold perpetrators accountable for their actions.
When reporting harassment discrimination and retaliation, key information includes the nature of the incident, dates and times it occurred, the identities of the perpetrator and victim, witnesses, and any evidence supporting the claim.
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