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    SEXUAL HARASSMENT, EXPLOITATION AND ABUSE REPORTING FORM

    You have decided to file a report under the Stephen Lewis Foundation’s Policy on the Prevention of Sexual Harassment, Exploitation and Abuse. In order to help in the investigation of the report, please complete as much of this form as you can. Fulsome information is helpful to the investigation process. If you would like assistance in completing this form, please contact a senior staff member of the Stephen Lewis Foundation, or anyone else employed by the SLF or a member of the Board of Directors, with whom you feel comfortable sharing this information.

    Please note that you have the right to remain anonymous.

    A.
    Address

    B. Who is the respondent to the report (the person(s) who you believe has engaged in conduct in contravention of this policy)?

    C. Who is the recipient of the alleged conduct in contravention of this policy (if not you)? The recipient of the alleged conduct has the right to remain anonymous should they choose.

    SUBSTANCE OF THE REPORT

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    Stephen Lewis Foundation

    260 Spadina Ave., Suite 100,
    Toronto, ON, Canada M5T 2E4
    +1 416-533-9292, 1-888-203-9990
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