Sample Grievance

I, John/Jane Inmate, was harassed/threatened/physically attacked because of my sexual orientation by [name(s) of person(s) involved] on [date(s) that the act(s) took place].

When you write a grievance, be sure to include as much information as you can remember. Include in your complaint:

  • what happened
  • when it happened
  • who did it
  • where it happened
  • what was said by the attacker(s)—paraphrase if you do not remember the exact quote.
  • who saw it happen
  • why you think it happened

If you reported harassment to any prison official(s) previously, indicate who you told, when, and what they did or did not do about it.