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DHR Form EO 001 - Complaint Form <br />(Please use additional sheets as necessary) <br />Names and contact information of any witnesses: <br />Please explain why you believe the above - described incident(s) violates the <br />County's Anti - Discrimination and Harassment Policy. <br />Is there any other information /evidence you believe would help us in our <br />investigation and review of this matter? <br />What resolution(s) to your complaint would you like the County to consider? <br />Page 3 of 5 Rev. 02/08/12 <br />