This tool allows CAAFA to collect data on mistreatment of minorities within CFD.
There are some error(s). Please see each marked section below.
1.
** Name:
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2.
** Station
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3.
** Unit
1 - Unit
1 - Unit
2 - Unit
2 - Unit
3 - Unit
3 - Unit
40 Hours
40 Hours
4.
** Rank:
Firefighter
Firefighter
Lieutenant
Lieutenant
Captain
Captain
Battalion Chief
Battalion Chief
Deputy Chief
Deputy Chief
Assistant Chief
Assistant Chief
Chief
Chief
Other
Other
Comment:
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5.
Enter Date and Time of Incident
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6.
Who was involved in the incident? (ex: primary offender(s), instigators, witnesses.
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7.
What type of offense occurred?
Harrasment
Harrasment
Discrimination
Discrimination
Disparate Treatment
Disparate Treatment
Other
8.
Describe incident that took place.
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9.
Did you report the incident? If yes to whom?
Yes
Yes
No
No
Comment:
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10.
What was the outcome?
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