Get Nvcc 105-193 2019

The NVCC 105-193 form is an essential document for reporting allegations of discrimination, harassment, or retaliation within the Northern Virginia Community College system. This guide provides comprehensive instructions on how to effectively fill out this form online.

Follow the steps to successfully complete your NVCC 105-193 form online.

1. Click the ‘Get Form’ button to access the NVCC 105-193 form and open it in your preferred editor, allowing you to fill it out digitally.
2. Enter your personal information in the 'Complainant’s Information' section. This includes your name, EMPLID#, email address, phone number, and status (Staff, Faculty, Student, Job Applicant, or Other).
3. In the 'Basis of Your Complaint' section, check all the relevant boxes that indicate the reason(s) for your complaint, such as race, sex, age, or disability.
4. Provide the details of the respondent(s) in the 'Respondent(s) Information' section. Fill in their name, title, department, campus, phone number, and email, selecting their status (Staff, Faculty, Student, Job Applicant, or Other).
5. Answer the question 'What happened?' by briefly explaining the incident, including the date, location, and a description of the events. Attach additional paper if necessary.
6. Indicate if you have attempted to resolve this complaint with anyone else at the college by selecting 'yes' or 'no'. If you answered 'yes', provide the name and state the results.
7. If anyone else has knowledge of the incident, note their name(s), title, and contact information.
8. Clearly state what resolution or remedy you are seeking from this complaint.
9. At the end of the form, certify that the information provided is true and accurate. Include your signature and the date. This step is crucial for your complaint to be processed.
10. Once completed, save your changes. You may choose to download, print, or share the form as needed, and submit it via email to eo@nvcc.edu or to the Office of Fair Practices.

Complete your NVCC 105-193 form online today to ensure your voice is heard.