Barker, NY · Niagara County
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
Download The Form
Download the Village of Barker complaint form for reporting sexual harassment.
- 2
Complete The Form
Provide the requested complainant, supervisor, incident, date, and witness information. The last two questions are optional.
- 3
Gather Supporting Documents
Attach any relevant documents or evidence; the form says you may use additional sheets of paper if necessary.
- 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.
