General - Human Resources - Truckee Meadows Community 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Personal Information section. Enter your Last Name, First Name, and TMCC Student or Employee ID. Include your mailing address, city, state, daytime and evening telephone numbers, zip code, and email.
3. Indicate whether you are a TMCC employee by selecting 'Yes' or 'No'. If yes, provide your department and title along with your supervisor's name and contact information.
4. In the Details of Incident section, identify the person(s) responsible for the harassment. Provide their name, role at TMCC, relationship to you, and a detailed description of the incident(s), including dates and locations.
5. If applicable, indicate if you have reported these incidents to anyone else at TMCC. Provide their name and role along with the date you notified them.
6. Finally, review the acknowledgment statement regarding confidentiality and retaliation before signing and dating the form.

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