← Paul Test

doc11522 e45a5de8-fd94-43da-b42f-7cd42cfcbdfe_Incident-Report-FormWEB-artifacted.pdf

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Page 1

30 item(s) JSON
form_field (11) heading (3) text (15) title (1)
Page 1
1 · TITLE
2 · TEXT
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4 · TEXT
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6 · TEXT
7 · TEXT
8
9 · TEXT
10
11 · TEXT
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13 · HEADING
14 · TEXT
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16
17 · TEXT
18 · TEXT
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21 · HEADING
22 · TEXT
23 · HEADING
24 · TEXT
25 · TEXT
26 · TEXT
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Page 1 JSON
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            "text": "Please attach copies of any documents or material you believe are relevant."
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Page 2

4 item(s) JSON
heading (2) text (2)
Page 2
1 · HEADING
2 · TEXT
3 · HEADING
4 · TEXT
Page 2 JSON
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            "text": "Please describe the incident(s) as clearly and concisely as possible. Provide as much detail as you can recall, including when and where the events occurred and who said what to whom. Explain why you believe the conduct or treatment was discriminatory. Use additional pages, if necessary."
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            "text": "Please describe what you would like to see done to correct the situation."
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Page 3

7 item(s) JSON
footer (2) form_field (2) heading (1) text (2)
Page 3
1 · HEADING
2 · TEXT
3 · TEXT
4 · FORM_FIELD
5 · FORM_FIELD
6 · FOOTER
7 · FOOTER
Page 3 JSON
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            "text": "Complaint Authorization",
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            "text": "I understand that complete confidentiality cannot be maintained in the process of handling informal and formal complaints. I agree that this statement of allegations may be used during the investigation of the incident."
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            "text": "I affirm that this complaint statement is true, accurate, and complete to the best of my knowledge."
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