Reporting Disrespect | Minnesota Association of Professional Employees

Full Name

Phone Number

Where do you work? (Agency, Department, Unit)

How long have you worked for the state in this role?

Who is your supervisor?

What is the date, time, and place of the incident?

Who was the abuser?

Describe what happened.

(What did the person say? How did they say it?)

Where did this conversation/situation take place?

(verbal conversation, teams meeting, text messages, email, teams chats, etc)

How did you respond to the situation?

Were there witnesses? Describe who they are and what they saw.

How did this interation make you feel?

Do you feel like this interaction was retaliation for either engagement with your union or for bringing a workplace issue to management? If so, please explain.

Do you have any evidence or documentation?

(Screenshots, recordings, emails, etc)

Maximum 5 files.
10 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Do you want a steward to follow up?

Yes

Maybe

What behaviors did you experience?

Shouting

Abusive language

Threats of violence

Use of obscenities or non-verbal expression of aggression

Behavior that a reasonable person would find to be demeaning, humiliating or bullying

Deliberately destorying, damaging or obstructing someone's work performance, work product, tools or materials

Use of this policy and procedure to make knowingly falce complaints

Other…

Are you ready to file a report?

Yes

Maybe