SEA/ Harassment Reporting

Feel Free to Report

SEA/Harassment Reporting Form

If you believe that you have been subjected to any kind of harassment, you are encouraged to complete this form and submit it to the organization’s PSEA Focal Point. You will not be retaliated against for filling a complaint. If you are more comfortable reporting verbally or in another manner, the PSEA Focal point should complete this form and provide you with a copy.  These reports are handled under strict confidentiality rules. You have the option to report anonymously.

SEA /Harassment Reporting Form

Complaint Information on Incident

Your complaint about harassment is made about

Please attach any relevant documents or evidence (optional).

Please provide additional information about the incident