The form can be filled out by any individual who has experienced sexual harassment.
Your complaint of Sexual Harassment is made about
Name of the person
Please describe what happened and how it is affecting you and your work.
Is the sexual harassment continuing?
Please list the name and contact information of any witnesses or individuals who may haveinformation related to your complaint:
Have you previously complained or provided information (verbal or written) about relatedincidents? If yes, when and to whom did you complain or provide information?