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Harassment / Discrimination Report
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Name (please leave blank if you wish to remain anonymous)
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Did this incident occur to you, or to somebody else?
Myself
A different staff member
Someone outside of the company
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Please provide a time, date and location of the incident. If you are reporting multiple, linked, incidents, please list as best you can the times, dates and locations of incidents.
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Please provide a description of the incident/s
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Please provide any other information you would like to add
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