DEI Incident Report Form: Discrimination Complaint
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Complainant Information
Incident Details
Witnesses and Evidence
Resolution and Actions
Location
Date & Time of Incident
Reported By (Name & Position)
Complainant Name
Complainant Role
Complainant Department
Complainant Contact Information
Preferred Contact Method
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Discrimination Complaint
Harassment Report
Accessibility Issue
Bias Incident
Inclusion Concern
Diversity Initiative Evaluation
Equity Audit Findings
Cultural Sensitivity Complaint