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 by School District employees.

 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 Form

  • General Information

  • MM slash DD slash YYYY
  • I am (choose one)
  • The alleged victim is:
  • Alleged Victim is (choose one)
  • Accused Person is:
  • Describe the Incident

  • Did the incident occur during a School District activity or event?
  • Do you believe the incident was based on a protected category (e.g. race, ethnicity, national origin, color, gender, sex, sexual orientation, gender identity, religion or disability)?
  • Max. file size: 10 MB.