Complaint Form for Reporting Sexual Harrasment
If you believe that you have been subjected to sexual harassment, you are encouraged to complete this form. You identity will remain anonymous.
Questions for Complaint Form for Reporting Sexual Harrasment
1.
Your complaint of Sexual Harassment is made about
The answer should be a single choice:
- Supervisor
- Subordinate
- Co-Worker
2.
Name of the person
The answer should be a text input.
3.
Please describe what happened and how it is affecting you and your work.
The answer should be a text input.
4.
Is the sexual harassment continuing?
The answer should be a single choice:
- Yes
- No
5.
Please list the name and contact information of any witnesses or individuals who may haveinformation related to your complaint:
The answer should be a text input.
6.
Have you previously complained or provided information (verbal or written) about relatedincidents? If yes, when and to whom did you complain or provide information?
The answer should be a text input.
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