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Workplace Discrimination Incident Log (Free PDF)

Document discriminatory incidents at work with dates, witnesses, what was said, and how the employer responded so you can share a clear record with HR, a union, or an attorney.

Employee & Employer Details

Add the basics so HR, a union rep, or an attorney can contact you about these incidents.

Types of Discrimination

Select all that apply so patterns are clear.

Incident Log

Capture what happened, who saw it, and how it was handled.

Notes & PDF Download

Add context about patterns, retaliation concerns, or next steps.