Barker, NY · Niagara County

No notary required

Complaint Form for Reporting Sexual Harassment

Employees who believe they have experienced sexual harassment can use this form to report the alleged incident to the Village of Barker Mayor.

What this form is

This form lets employees report alleged sexual harassment and ask the Village of Barker to investigate. The document says employees are encouraged to submit it if they believe they have been subjected to sexual harassment. It asks for complainant and supervisor details, information about the alleged conduct, dates, witnesses, and related complaints or claims; the last two questions are optional.

Who needs it

Village of Barker employees who believe they have experienced sexual harassment can complete and submit this complaint form to the Mayor.

How to submit it

Submit the completed form to the Mayor in person or by mail at 8708 Main St., PO Box 298, Barker, NY 14012.

About notarization

This complaint form is signed and dated without a notary; it asks for no notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Form

    Download the Village of Barker complaint form for reporting sexual harassment.

  2. 2

    Complete The Form

    Provide the requested complainant, supervisor, incident, date, and witness information. The last two questions are optional.

  3. 3

    Gather Supporting Documents

    Attach any relevant documents or evidence; the form says you may use additional sheets of paper if necessary.

  4. 4

    Sign And Submit

    Sign and date the form, then submit it to the Mayor in person or by mail at the address provided.

Frequently asked questions

Do I need a notary for the sexual harassment complaint form?
No. The form asks you to sign and date it, but includes no notary block or notarized or sworn attachment.
How do I submit the sexual harassment complaint form?
Submit it to the Mayor in person or by mail at 8708 Main St., PO Box 298, Barker, NY 14012.
What information does the complaint form ask for?
It asks for complainant and supervisor information, details about the alleged conduct, dates, witnesses, and related complaints or claims. The last two questions are optional.

Need something notarized?

This Complaint Form for Reporting Sexual Harassment doesn’t need a notary — but if you have another Barker form that does, a commissioned online notary can help.