Sexual Harassment Complaint
Page 3 of 3; Sexual Harassment Complaint Rev.: 10/13/2017
TMCC is an EEO/AA institution. See http://eeo.tmcc.edu for more information.
BY MY SIGNATURE BELOW
I understand that in order for TMCC to investigate the allegations in my complaint, it will likely be necessary for TMCC to
reveal my identity to the person(s) alleged to have sexually harassed 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 investigating person at TMCC 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 complaint of sexual
I acknowledge that the information I have provided in this complaint is complete, true and accurate to the best of my
I further acknowledge that I have read, understood, and agree to the above information and I authorize TMCC to conduct
an investigation into the allegations in my complaint, and that I am filing this complaint voluntarily.
For Official Use Only
File Number: _____________________
Completed Form Received by:
Name: ____________________________________________ Title: _________________________________________
Department: ______________________________________________________ Date: __________________________
Complaint form forwarded to Primary Officer:
Received By: ______________________________________________________ Date: __________________________