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Home
Contact Us
Careers with GFM
About Us
Commitment to Our Environment
Values and Mission
Services
Sharps and Healthcare Waste Mail Back
Biohazard Waste Disposal
Regulatory Compliance Training
GFM Environmental Services in British Columbia
Service Options and Plans
Supplies Marketplace
Sharps Containers
X-Ray Waste
Blog
Schedule Service Call
Links and Resources
Healthcare Worker Safety
GFM Team Login
Important Team Info
>
Safety
Workplace Violence
Workplace Violence and Harassment Policy and Proceedures
Online Payment and Account Access - Pay Online Now!
Customer Login
Illicit Drug Disposal
GFM Environmental Services Workplace Violence and Harassment Report Form
*
Indicates required field
Complainant Information
*
First
Last
Phone Number
*
Date and Time of Incident
*
Alleged Abuser(s) If known
*
First
Last
Choose One
*
Co-Worker
Visitor
Other
Alleged Abuser(s). Use this box for multiple alleged abusers.
*
Name of Witnesses or Those Providing Assistance
*
Description of Incident
*
Medical Attention Required?
*
No
Yes
Date
*
The purpose of this form is to document your claim to assist in a thorough investigation of the complaint.
Submit
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