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District

Workplace Violence Form

Workplace Violence Form

New York State legislation mandates employers to implement a comprehensive Workplace Violence Prevention policy, encompassing the provision of a formal complaint form designed for the reporting of alleged incidents of workplace violence.

Should you find yourself a victim of workplace violence, please complete the designated form below. Subsequently, the completed form will be forwarded to the District's appointed Workplace Violence Prevention Coordinator, who will conduct a thorough investigation. It is essential to note that filing a complaint will not result in any form of retaliation against you.

For additional resources, please visit the New York State website.