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Sexual Harassment Complaint Form Template

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What Is It?

A sexual harassment complaint form is a document used by employees to report incidents of sexual harassment in the workplace. It is a written statement that describes the nature and details of the harassment and is used to initiate an investigation by the employer.

It is important for employees to report any incidents of sexual harassment promptly, as there may be time limits for filing a complaint. A sexual harassment complaint form provides a clear and formal process for reporting harassment and helps ensure that the issue is addressed in a timely and appropriate manner.

When To Use?

A sexual harassment complaint form should be used when an employee experiences or witnesses behavior in the workplace that they believe constitutes sexual harassment. Sexual harassment is a form of discrimination that is illegal under federal and state laws, and it is important for employees to report any incidents promptly in order to prevent the behavior from continuing.

Employees should use the sexual harassment complaint form if they experience or witness any of the following:

  1. Unwanted sexual advances or propositions.
  2. Sexual harassment in the form of verbal or physical conduct, including suggestive gestures or statements.
  3. Sexual exploitation or coercion.
  4. Display of sexually explicit or offensive material in the workplace.
  5. Retaliation for reporting sexual harassment or participating in an investigation.

What to include?

The form typically includes the following information:

  1. Employee Information: The name, address, and contact information of the employee making the complaint.
  2. Date and Time of Incident: The date and time when the harassment occurred.
  3. Description of Incident: A detailed description of the behavior or actions that the employee considers to be sexual harassment.
  4. Witnesses: The names and contact information of any witnesses to the incident.
  5. Supporting Documents: Any relevant documents, such as emails, text messages, or notes, that support the complaint.
  6. Signature: The employee's signature indicates that the information provided is accurate. 
Full Name
Position
Department
Supervisor/ Manager
Employee ID
Contact Address
Date of Incident
Location of Incident
Description of Incident
Please provide a detailed description of the incident(s) you are reporting, including:
Who was involved
What happened
When it happened
Where it happened
Any witnesses to the incident
Any other relevant information
Signature:
Date:

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