Any person who desires to resolve Non Discrimination and Respectful Workplace issues through a formal internal process should use this form to notify the Non-Discrimination and Respectful Workplace Investigations team.  If you have questions, please contact us at 612-543-2058.

Before you continue, please read the NDRW policy.


Name search  

Search for your name below.

Please include a minimum of 2 or 3 letters of the beginning of the first name and last name.  Search is 'case-sensitive'.

First name

Last name

Email address

Department


Employee information (hidden from user)



Your personal information


Alleged violation information


Who committed the alleged policy violation? 

You can choose to look up the name (if known) or include details about that person below.



Person name search  

Please include a minimum of 2 or 3 letters of the beginning of the first name and last name.  Search is 'case-sensitive'.

First name

Last name

Email

Department


Second party information (hidden from user)



Alleged person information


List of alleged persons

stRptSecondPartyNm, placeholder


Summary


    Acknowledgement

    **Tennessen Notice: Any data you provide about yourself as part of this complaint form is considered private data. You are not required to provide us with your private data on this form; however, if you do not, we may not be able to move forward with your request. Any private data you provide to us will be shared with the NDRW investigators and may be shared with department leadership, the Hennepin County Attorney’s Office, HR Business Partners, and Labor Relations, as needed. Additionally, data related to this complaint may be released to others as required by law.

    • All fields are required.  
    • Do not change any of the field names within this panel.
    • If user entered values are used to complete one of these fields - that must be done via code.
    • All code for each field is found in the calculate event.
    General settings

    A dropdown is used - just in case you change these values when in different environments.

    This is used to fill in the body of the email.  Something like "NOK Authorization for Removal" or "Tab Renewal"

    Note: Make sure to add  '.pdf' to your filename

    Email settings - submitter

    This value will normally be the email address of whomever is submitting the form.  You can set this value to a value entered by the user.

    This value may be the same as the 'email subject - LOB'.  Just code - or copy/paste the value as needed'

    Email settings - LOB

    This value will normally be the email address of an LOB general mailbox.  Something like: ME.Operations@hennepin.us  

    Only one email per field.

    (cc) is required.

    I left this as the generic noreply@hennepin.us - since we really don't want all of these submissions going to noreply-webforms@hennepin.us - we only want undeliverable issues.

    (cc)

    This value will normally be the email address of an LOB general mailbox.  Something like: ME.Operations@hennepin.us  

    Only one email per field. 

    If this value should be left blank - noreplay@hennepin.us should be used as the default.  

    This value may be the same as the 'email subject - submitter'.  Just code - or copy/paste the value as needed'

    • Double check all of your settings to make sure the emails will look correct when sent.
    • Make sure to hide this panel before sending for review.