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Sexual Harassment Report Form

  1. You may submit a report anonymously. However, please understand that the County's ability to investigate and to respond to anonymous information may be limited.
  2. Name/Title/Work Address/Phone
  3. Relationship to you:
  4. Please describe the conduct or incident(s) that you are concerned about and how it is affecting you and your work.
  5. Is the conduct continuing?
  6. THANK YOU FOR REPORTING THIS INFORMATION. WE WILL BE IN TOUCH WITH YOU PROMPTLY. IF ANY ADDITIONAL INCIDENTS OCCUR, INCLUDING IF YOU EXPERIENCE ANY ACT OF RETALIATION, PLEASE INFORM HUMAN RESOURCES IMMEDIATELY.
  7. Leave This Blank:

  8. This field is not part of the form submission.

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