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COMPLAINANT FORM (Page 2)

For Harassment and Discrimination Incidents Involving Student Employees or Employees

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Requested Redress/Suggested Solution:

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Signature: _____________________________________________________Date: __________________

 

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Investigation Results:

 

 

 

 

Facts:

 

 

 

Recommendations:

 

 

 

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Investigator's Signature                                                                                                 Date

                                                                                                                                       Revised 6/06