If you believe that you have been subjected to sexual or other forms of harassment, you are encouraged to complete this form and submit it to your supervisor or the Human Resources Department either in person or by email. Once you submit this form, we will follow our sexual/workplace harassment prevention policy and investigate any claims.
 
If you are more comfortable reporting verbally or in another manner, we are still required to follow our sexual/workplace harassment prevention policy by investigating the claims as outlined at the end of this form.
 
For additional resources, visit: ny.gov/combatting-sexual-harassment