Regulations of Sexual Harassment Mediation Article 6

Any party directly involved in a sexual harassment incident need to apply for meditation in either a written statement or verbally. If an applicant prefers to use the verbal method, a written record of statements should be made. Appling with written statement, the applicant shall provide copies with the same number of the other party.The application form or written record of statements mentioned in the preceding paragraph shall record the following items and be sealed or signed by the applicant or his attorneys:1. Name, gender, date of birth, ID number or passport number of the applicant. Name of the unit and school where the applicant serves or studies and his/her title. His domicile or address and phone number.2. Name, gender, address or domicile and phone number. If the organizations, troops, schools, or employers he related to is known, please record the name.3. Where the applicant has a guardian, the guardian's name, gender, date of birth, ID number or passport number, job, domicile or address and phone number.4. Where the applicant has an attorney, the attorney's name, gender, date of birth, ID number or passport number, job, domicile or address and phone number, and power of attorney.5. The cause to be reconciled and the situation of the argument.6. Date of meditation.
中文原文 性騷擾事件調解辦法第6條
申請調解,由當事人之一方以書面或言詞為之。
以言詞申請者,應製作筆錄;書面申請者,應按他造人數提出繕本。
前項申請書或筆錄,應載明下列事項,並由申請人或代理人簽名或蓋章:
一、申請人姓名、性別、出生年月日、國民身分證統一編號或護照號碼、服務或就學之單位與職稱、住所或居所及聯絡電話。
二、相對人姓名、性別、住所或居所及聯絡電話,知悉其所屬機關、部隊、學校或僱用人者,註明其名稱。
三、有法定代理人者,其姓名、性別、出生年月日、國民身分證統一編號或護照號碼、職業、住所或居所及聯絡電話。
四、有委任代理人者,其姓名、性別、出生年月日、國民身分證統一編號或護照號碼、職業、住所或居所及聯絡電話,並應檢附委任書。
五、調解事由及爭議情形。
六、年月日。

English translation for reference only; the Chinese text prevails. Not legal advice.