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TO:
Ir4arkStcphcns,iJIl ComplianceSpccialist
FROT{:
sullJDCl':
DAf'Il:
Juli'j2, 2616
jnvestigatc cerlaitr
fonlalizcs your ajrpointnrcntas m)' rept-csentalivelo
This nrcrnorandupr
Oflciai' including- but not
i.-orkplacecomplairilsrelaling to Chris \-znzi, Assista:rrBuildirrg
1o 1he Developmcnt Sen'ices
lirnifcd to an), \'or-kplacecornplaintsassociatedrvith or relating
Department.
Cit)'Manager' As such,
This in'cstigationu,jll be conductcdundertlie authorityof thc
to:
your dutiesrcgardinglhis investigalioninclude,but alc not limited
and appiicablc federai and
1. Foiloq,ing the Cily of Dentou's Policics and Procedures
statc 1aw.
factors that rnal'have
2. Conducing a1analysis of fuumaneiementsand organiz-ational
influenced the incidenusIeadingup to any coniplaints'
J.
inciividuals involved'
Coorrlinating inlbrnration cxchangebetr.vcenaii pertincnt
J{ou'ar-dir4artin
"Dedicated
to Qua[itY Service"
r.,,i,r."srilfiKilg"g(ft'gfde
r(:s.tr cicrrcc\r.crrros',t
l\.ur decurrcrrs\cor
s:\lc1:a
nto n 'co nt
WitncssInten'ien'
Name:
I)epartment/Division:
Phoneextensior-r:
Date of Intcn,ieu':
liame oiperson(s)conciuctinginierview:
?
rvrI rrLill r r r lr
l i r r vn r r r d r - n :r 1 r r r e n l
Jvur
9) IJorv oftcn do ),ou go out and socializewith you co-workersor supervisorsaway fron]
the olfice oulsideof u'olk hours?
I0) IJave you cver noticcd an)/ Plarul':rgand Devclopment cnrployeeso\/er the past 1'eat
or two, no natter their dcsiguation, eithei during work ot awa)/ from rvork say words ol
act in a \\,a)/tl'ratyou ol another person )/or.rrnay work with may possib)y consider cross
your line or anothel-llerson'sline betrvccnrvl-iatis propel aird impropet 1o be discussing
within thc rvorkplacc?
\\rho?
What?
When?
Wirerc?
I-1ow?
11) Has an),onervithin or outsideof your departmentover the pastyear or trvo told you
aboul someconductor conversationthat they felt may be or \vasimpropcr or
inappropriate.In other \r,ords,has somconesharedwith you what they think rnay possibiy
ir" iometlringthat crossestire line betu'eenwhat is proper and improfer to be discussing
within thc rvorkplace?
Who?
What?
When?
Where?
I-low?
anY other
Ilave you ever witnessedfirsthand any conduct or words said or acted out from
person in your deparlllent over the past year or two no mat-terthe level in the chain of
could
command,co-worker or subordinateyou feel could be sexual in nature? ExamPles
inciudcjokes, pictures,gestures,compliments?
Who?
Whal?
\\ften?
Where?
I{ou,?
they heal'd
i2) Ilave you evcr u,ilnessedsecold-[a1d, in other words solxeollercliing ),ou
fi-om anY
out
that )'ou had no1seell'anlyconduct or u'ords said or acted
or saw sornethin6l
'
t
h
c
I c v c l in t lrc c h a i n
Otherpcrsoll i11yrtur deltartrlentOvcrt|e paStyear or two no illattel
of comn'iand,co-ri,orkeror subordinatcyou feel could be sexualin nalurc? .bxailpies
could inciudejokes, piclures,gesturcs,compliments?
Who?
\\/1-ra1?
WI-ren?
\tr/hcre?
I lou'?
Contplaint initiated Jul5' 12, 2016
I-lai-asstneut
Considering everylhing I have askcd you about during our interviel1,,wltat kind of
think you have witirin the Planning and Deveiopnlenl
r.r'orkingenvironrnent do 1'e11
1)cparLn'ien1?
i-lr^rrky"" f"t ).,r. tr"" io.tCyand the informationyou provided Ifuman Resources-Please
rernemberthat the infor rnationyou provided and discussionsthal look place is considered
confidcntial. To er.rsurethe integrity of tlie investigation, you should not disciose ally
ilforrnatiol provided or discussedin thc interviewto any other ernployeeoutsideof I-Iuman
Resources,inciuding ),our manager,without prior permissionfrorn the Director of Ifuman
Con-rplianceSpecialist,Ir4ark StephensResourccs,Carla Romine, or llunran ll-esour:ces
Ilumall{esources;siaff nentb,erswili kcep thosewho are in a irecdto knou'llositior abrt:ast
of the stalusof th,: inveslip.ation.
Iredelal lau,prohibits retalialion against any emplol,ec by auother ernpiol'ec or by the
Companl, for reporting, filing, lestifying, assisting or participatirlg in any lranner rn any
investigalion- llroceeding or ircaring conducted by the Corttpaty or a federai or state
enforccnrcnt agenc)/. )intplo;,ees shoulci report any relaliation to a supervisor, any Inatlager
in hisA-rer-chain of comlrraud, or to 1he l)irector of l{unlan Resoutces or 10 the Ifuman
l-larassrrrcnlComplaint initiated Juiy 12,")0I6
Printed Name
Sirrn:1 rrre
1{ar-assment
Compiaint initiated July 12,2016
Date
Witncss Intcrvicrv
Name:
on:
Departrnent/Divisj
Phonccxlension:
Dateof lntervieu':
i.iameof person(s)conduciinginterview-:
Nondisclosut-e
No relaliation
IlarassmenlComplaintiniliatedJuly 12,2016
r JD!r
ic rr cr
- lr ar or '
ur
6v'
',\ V i l l b e t a k e n .
PrintedName
Signaturc
IfarassrlentCon.rplaintinitiated-Tuly12, 2016
Date