Discrimination or Harassment Complaint form

Complaint of Alleged Discrimination or Harassment

This form is to be filed as a part of the formal procedure in order to initiate a complaint of alleged discrimination or harassment prohibited by Newmeadow's policy on Unlawful Discrimination and Harassment.

If you believe that you have witnessed or been subjected to discrimination or harassment, including sexual harassment, you are encouraged to complete this form and submit it to the Director of Corporate Compliance and Quality Assurance.

Ramona Grugnale, Regulatory Compliance Director
23 Sitterly Road
Clifton Park, NY 12065
518-899-9235 extension 2250
compliance@newmeadow.org

Once a complaint is received, Newmeadow, Inc. will follow the investigation process described in the Unlawful Discrimination and Harassment policy.

Complainant Information

Name*

Your Name

Job Title

title(1)*

Phone number

Email address

Select preferred communication method:*

Phone

In person

*Please indicate N/A if not applicable

Locations

Business Office

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