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SGP Anti-Harassment Form
We commit to fully investigating and acting on information we receive through anonymous reporting. You have the option to provide contact information if you would like any follow up on how the incident was dealt with, or if SGP needs more information to handle your report. All questions are OPTIONAL.
Any form of retaliation against anyone making a complaint or participating in an investigation is strictly prohibited and will result in disciplinary action. Everyone has the right at any time to raise the issue of harassment without fear of reprisal.
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Date of Report Incident
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YYYY
Date of Incident
MM
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DD
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YYYY
Estimated Time of Incident
Time
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Type of Complaint or Harassment
Location of Incident
Incident Description
Identity of Individual involved (name; physical description)
Were there any witnesses? *If yes and you would like us to follow up with them please state here
How has this incident impacted you?
What resolution are you hoping for?
Would you like to meet with SGP staff to discuss the incident
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Name - OPTIONAL
Contact information - OPTIONAL
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