Kings Canyon SD | E 4119.11, 4219.11, 4319.11 Personnel
SEXUAL HARASSMENT COMPLAINT
Prior to completing this form, please read the following:
œâAccurate completion of this form will ensure the immediate and thorough investigation of the complaint.
œâThis form should be submitted to the Assistant Superintendent - Personnel.
œâAn investigation and immediate action will be taken if the district harassment policy has been violated. No action will be taken against an employee for filing a complaint.
œâThe employee filing the complaint will be notified of the outcome of the investigation.
Please complete all sections, sign and date the complaint.
The name of the person this complaint is being filed against: _____________________________________
Names of witnesses or other persons having knowledge of the conduct complained of:
Employee's Signature _________________________________ Date _____________
Exhibit KINGS CANYON UNIFIED SCHOOL DISTRICT
version: April 19, 1999 Reedley, California