HR Stance Against Workplace Bullying Complaint

Personal Information

Your Name:

First NameLast Name

Telephone Number:

Please enter a valid phone number.Format: 000-000-0000.

Email Address:

example@tmcc.edu

Details of Incident(s)

Please identify the person(s) against whom this complaint is being filed:

1) Name:

1) Role or Position:

1) Relationship:

2) Name:

2) Role or Position:

2) Relationship:

3) Name:

3) Role or Position:

3) Relationship:

Describe Alleged Bullying Incident:

Include the action or behavior you believe constitutes bullying, along with specific details such as date(s), time(s), location(s), and anyone involved.

Individuals Who Witnessed the Incident:

Provide the names of anyone who may have directly witnessed the occurrence(s). Include contact information if available.

Certification and Acknowledgment

By pressing submit, I acknowledge that I have read and understand TMCC’s Stance Against Workplace Bullying Policy and Procedures and Guidelines. I authorize TMCC to conduct a reasonable inquiry into the allegations in my complaint.

I understand that for TMCC to make a reasonable inquiry into the allegations in my complaint, it will likely be necessary for TMCC to reveal my identity to the person(s) alleged to have bullied me and to disclose information about my complaint to such person(s), including the details I have provided as part of my complaint.

I understand that the person conducting the reasonable inquiry may disclose information about my complaint, including personally identifying details, to other TMCC officials who have a need to know this information.

I understand that as a complainant, I may not be intimidated or retaliated against for having filed a legitimate complaint of bullying.

I acknowledge that the information I have provided in this complaint is complete, true and accurate to the best of my knowledge.

Please verify that you are human:

Sender Name: