Report Employee Discrimination and Harassment

This form should be used by employees, students, school partners/contractors and others, to report acts of discrimination and harassment where employees are the alleged victim or alleged aggressor.

 NOTE: If you are reporting an incident of bullying where a student is the alleged victim, please use the Bullying and Harassment Form.


Employee Discrimination and Harassment Reporting and Investigation Form

  • General Information

  • Date Format: MM slash DD slash YYYY
  • The alleged victim is:
  • What is the relationship of the alleged victim to the accused person? Is the alleged victim:
  • Describe the Incident

  • Date Format: MM slash DD slash YYYY