SDOC Harassment and Discrimination Complaints

SDOC Harassment and Discrimination Complaints

Pursuant to State Board of Education Rule 6A-10.081 – Principles of Professional Conduct for the Education Profession in Florida (Florida Administrative Code), Osceola County School Board Rule 6.27 – Professional Ethics, and Osceola County School Board Rule 2.70 – Prohibiting Discrimination, Including Sexual and Other Forms of Harassment, a complaining party may file a formal allegation of harassment/discrimination.

The description of the alleged harassment/discrimination must be clear, complete, and documented.

In order for the allegation to be considered, this form must be completed in full, signed by the person lodging the complaint (note that anonymous complaints are not permitted), and supporting documentation, information, and evidence must be attached.

Complaints must be filed within thirty (30) days of the alleged violation. This form and the supporting documentation will remain confidential to the extent permitted until the investigation is complete. At that time, the complaint information will fall under the provisions of Chapter 119, Florida Statutes, related to public records.

Pertinent information will be disclosed to the alleged offender as part of the harassment/discrimination complaint review process.

Alleged Offense

Alleged Offender's Name*

Date of Alleged Offense*

Alleged Offender's Position*

Alleged Offender's School/Site*

Alleged Offense Type*

From the list below, please select the type(s) of harassment/discrimination that you allege has occurred:

Age

Citizenship or status as an alien U.S. worker

Color

Disability

Gender Identity

Genetic Information

Marital Status (only Florida law applies)

National or Ethnic Origin

Political Belief

Pregnancy

Race

Religion

Retaliation

Sex

Sexual Orientation

If "Age" is checked, please provide a date of birth below:*

If "Disability" is checked, please specify which disability below:*

If "National or Ethnic Origin" is checked, please specify below:*

If "Race" is checked, please specify below:*

Please indicate:*

Select

If "Retaliation" is checked, please explain in the space provided below:*

If "Sex" is checked, please specify below:*

Male

Female

Does this allegation include sexual harassment?*

Yes

No

Supporting Documentation (if applicable)

List of documentation, information, and evidence attached to this Harassment/Discrimination Complaint and relied upon to support alleged violation:

File Upload*

Please upload all documents referenced above.

Drag and drop files here or

Complainant's Information

Complainant's Name*

Employee ID (if applicable)

Complainant's Position*

School/Worksite (if applicable)

Phone Number*

Phone

Email*

Complainant Acknowledgement

Osceola County School Board Rule 6.361 – Confidentiality of Internal Investigations and Osceola County School Board Rule 6.75 – Whistleblower Protection prohibit adverse personnel action or retaliation against an employee who reports ethical misconduct.

Electronic Signature*

By typing my name below and submitting this electronic form, I affirm that the information provided is true and accurate to the best of my ability.

I further affirm the understanding that filing a malicious or frivolous ethics complaint and/or providing altered documentation shall result in disciplinary action.

Send me a copy of my responses

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