Free Complaint Form Download - Free Download
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Free Complaint Form Download
Free Complaint Form Download
COMPLAINT FORM
Submit To: Today’s Date
University of Florida
Human Resource Services Status: Student Faculty
Box 115003 (903 West University Avenue) TEAMS USPS
Gainesville, FL 32611 OPS Applicant
352-392-1726 Fax Former Student Former Employee
Other ____________________________
I. COMPLAINANT (If more than one Complainant, please complete a separate form. Add additional pages if necessary.)
Complainant (Name & Title) ______
Department UFID #
Address (University) Work Phone
Address (Residence) Home Phone
City / State / Zip _________ Cell Phone
II. TYPE & BASIS OF COMPLAINT (Check the boxes that apply.)
Type of Complaint: Discrimination Harassment Retaliation Sexual Harassment
Basis of the Complaint: Race Ethnicity Gender Sexual Orientation
Religion Age Disability Marital Status
Level of Complaint: Informal Formal
III. RESPONDENT (person accused). Add additional pages if necessary.
Respondent #1 (Name & Title) ______
Address (Work) Work Phone
Address (Home) Home Phone
Mobile Phone
Respondents Status: Student Faculty TEAMS USPS OPS _________________
---------------------------------------------------------------------------------------------------------------------------------------
Respondent #2 (Name & Title) ______
Address (Work) Work Phone
Address (Home) Home Phone
Mobile Phone
Respondents Status: Student Faculty TEAMS USPS OPS _________________
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source: hr.ufl.edu
Free Complaint Form Download
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