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Discrimination/Harassment Complaint Form Employee information Name: Phone Number: Position: Supervisor: E-Mail Address: Discrimination or Harassment Complaint Information I believe I was harassed/discriminated

How to fill out discrimination or harassment complaint

How to fill out a discrimination or harassment complaint:

1. Start by obtaining the necessary forms: Contact the appropriate organization or authority, such as your employer's human resources department or a government agency, to request the complaint forms for discrimination or harassment. These forms may also be available online.
2. Provide your personal information: Fill in your name, contact details, and any other requested personal information on the complaint form. Make sure to include your job title, department, and any relevant dates or time frames.
3. Describe the discrimination or harassment incident: Clearly state the details of the incident or incidents that led to your complaint. Be specific about what happened, when it happened, where it happened, and who was involved.
4. Include supporting evidence: Provide any evidence you may have to support your claim. This can include emails, text messages, photographs, videos, witness statements, or any other documentation that can help validate your complaint. Make copies of these documents and keep the originals for your records.
5. Describe the impact: Explain how the discrimination or harassment has affected you personally, emotionally, or professionally. Describe any physical or mental impact, as well as any negative consequences for your work performance or career advancement.
6. Identify witnesses: If there were any witnesses to the incident, provide their names and contact information. Witness testimony can be vital in supporting your complaint, so try to gather as much evidence as possible.
7. Follow any additional instructions: Certain organizations or authorities may have specific procedures or additional steps to follow when filing a discrimination or harassment complaint. Make sure to carefully read and comply with any instructions provided on the complaint form or on the organization's website.

Who needs a discrimination or harassment complaint:

1. Employees who believe they have experienced any form of discrimination or harassment in the workplace, such as based on race, gender, age, disability, religion, nationality, or sexual orientation.
2. Job applicants who faced discrimination or harassment during the hiring process.
3. Students who have experienced discrimination or harassment in educational institutions, including schools, colleges, or universities.
4. Customers, clients, or individuals who have faced discrimination or harassment while accessing goods, services, or accommodations.
5. Any individual who believes they have been subjected to discrimination or harassment in various other settings, such as housing, public establishments, healthcare facilities, or government agencies.

Remember, it is important to consult with a legal professional or seek guidance from an appropriate authority to ensure you properly handle and address your discrimination or harassment complaint.

For pdfFiller’s FAQs

What is discrimination or harassment complaint?

Discrimination or harassment complaint is a formal complaint made by an individual who believes they have been subjected to discriminatory or harassing behavior based on protected characteristics such as race, gender, age, or disability.

Who is required to file discrimination or harassment complaint?

Any individual who believes they have been discriminated against or harassed is required to file a discrimination or harassment complaint.

How to fill out discrimination or harassment complaint?

To fill out a discrimination or harassment complaint, the individual must provide detailed information about the incident, including dates, times, witnesses, and the nature of the discrimination or harassment.

What is the purpose of discrimination or harassment complaint?

The purpose of a discrimination or harassment complaint is to address and remedy instances of discrimination or harassment in the workplace or other settings.

What information must be reported on discrimination or harassment complaint?

Information that must be reported on a discrimination or harassment complaint includes details about the incident, individuals involved, witnesses, and any supporting documentation.

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