Series: Series0000     Sub Series: 0100     Policy Number: 0110-E.1
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SEXUAL HARASSMENT COMPLAINT APPEAL FORM


Name and position of complainant: ___________________________________________________

 

Date of appeal: __________________________________________________________________

 

 

Date of original complaint: _________________________________________________________

 

Have there been any prior appeals? __________________________________________________

 

If yes, when? To whom? __________________________________________________________

 

Description of decision being appealed: ________________________________________________

 

Why is the decision being appealed? __________________________________________________

 

______________________________________________________________________________

 

______________________________________________________________________________

 

______________________________________________________________________________

 



District Reference:
,

General Reference:

Adoption Date:
2007-03-13

Last Revised: