UMW Discrimination Complaint Form Step Two
The Step Two form must be submitted to the AAEEO Office within five
(5) working days after receipt of the Step One decision.
Full Name*
UMW Office Location/Residence Hall*
Best phone number to reach you*
Department*
I understand that by filling out and signing this document
that I am requesting a Panel hearing
Give a written statement describing why the Step One Resolution is not
satisfactory
Please list witnesses to be present at the Panel hearing or list written
witness statements
Identify any counsel, advisor, or observer to be present at the hearing
Signature and Date
Submit to the AAEEO Office within five (5) working days after receipt of the Step One decision.