Sexual Harassment Or Discrimination Complaint Form Page 3
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413. Did you inform the alleged offender(s) their behavior was unacceptable?
YES
NO
If yes, please describe.
14. Were there any witnesses to the alleged sexual harassment or discrimination incident(s)?
YES
NO
If yes, please provide the name(s), address(es), and phone number(s).
15. Have you reported this incident to anyone else?
YES
NO
If yes, please provide the name(s), address(es), and phone number(s).
16. What remedy are you seeking?
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