New York State Labor Law requires all employers to adopt a sexual harassment prevention policy that includes a complaint form to report alleged incidents of sexual harassment. This form is for both students and employees.
If you believe that you have been subjected to sexual harassment, you are encouraged to complete this form and submit it to the Title IX Coordinator. You will not be retaliated against for filing a complaint.
If you are more comfortable reporting verbally or in another matter, your employer should complete this form, provide you with a copy, and follow its sexual harassment prevention policy by investigating the claims as outlined at the end of this form.
For additional resources, visit: http://www.ny.gov/programs/combating-sexual-harassment-workplace
Title IX Coordinator, Susan Warren - firstname.lastname@example.org