person_agency
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you a person or agency filing this complaint on behalf of someone else?, type: esriFieldTypeString
,
Coded Values:
[yes: Yes]
,
[no: No]
)
have_you_spoken_to_your_dept
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Have you spoken to your department's human resource representative?, type: esriFieldTypeString
,
Coded Values:
[yes: Yes]
,
[no: No]
)
md210
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you reporting this under Management Directive 210?, type: esriFieldTypeString
,
Coded Values:
[yes: Yes]
,
[no: No]
)
are_you_a_county_employee
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you a county employee?, type: esriFieldTypeString
,
Coded Values:
[yes: Yes]
,
[no: No]
)
which_department_do_you_work_in
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Which department do you work in?, type: esriFieldTypeString
,
Coded Values:
[administrative_office: Administrative Office]
,
[agriculture: Agriculture]
,
[assessor_recorder: Assessor Recorder]
, ...22 more...
)
what_is_your_current_position_
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What is your current position held or position you applied for?, type: esriFieldTypeString
)
on_what_basis
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: On what Basis do you feel discriminated against?, type: esriFieldTypeString
)
employment_harm
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What type of employment harm or adverse action are you alleging? (Please mark all that apply), type: esriFieldTypeString
)
field_16
(
nullable: true, editable: true, defaultValue: null, length: 29, alias: Date alleged discriminatory act(s) ended if occurring over a period of time., type: esriFieldTypeDate
)
state_the_specifics
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: State the specifics of what occurred that lead you to believe you have been discriminated against. (Attach any documentation you have to substantiate your allegations at the bottom of this form.), type: esriFieldTypeString
)
what_remedy_do_you_request
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: What remedy do you request for the alleged discrimination?, type: esriFieldTypeString
)
witnesses
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are there any individuals who are willing to testify on your behalf?, type: esriFieldTypeString
,
Coded Values:
[yes: Yes]
,
[no: No]
)
wit1
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Name Of Witness, type: esriFieldTypeString
)
wit1phone
(
nullable: true, editable: true, defaultValue: null, alias: Phone Number of Witness, type: esriFieldTypeDouble
)
wit2
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Name Of Witness, type: esriFieldTypeString
)
wit2phone
(
nullable: true, editable: true, defaultValue: null, alias: Phone Number of Witness, type: esriFieldTypeDouble
)
wit
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Name Of Witness, type: esriFieldTypeString
)
wit3phone
(
nullable: true, editable: true, defaultValue: null, alias: Phone Number of Witness, type: esriFieldTypeDouble
)
wit4
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Name Of Witness, type: esriFieldTypeString
)
wit4phone
(
nullable: true, editable: true, defaultValue: null, alias: Phone Number of Witness, type: esriFieldTypeDouble
)
name_of_investigator_
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Name of Investigator, type: esriFieldTypeString
)
phone_number_of_investigator
(
nullable: true, editable: true, defaultValue: null, alias: Phone Number of Investigator, type: esriFieldTypeDouble
)
status_of_complaint
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Status of Complaint, type: esriFieldTypeString
,
Coded Values:
[unassigned: Unassigned]
,
[current_investigation: Current Investigation]
,
[resolved: Resolved]
)
date_of_resoultion
(
nullable: true, editable: true, defaultValue: null, length: 29, alias: Date of Resoultion, type: esriFieldTypeDate
)
agency_name
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Please identify your name and department OR name of external agency, type: esriFieldTypeString
)