Statement of Complaint. Please describe as best you can exactly what happened to you, which leads you to believe that you have been bullied, harassed and/or discriminated against. Include dates; times; locations; the names of everyone who was involved in the bullying, harassment and/or discrimination, including all person(s) who saw or heard what happened; and, all other relevant facts. If there was more than one incident of bullying, harassment and/or discrimination, please describe each incident separately. *