Get the free Harassment Incident Report Form - umt

This form is designed for reporting incidents of harassment, providing details such as the nature of the incident, involved parties, and options for follow-up.

How to fill out harassment incident report form

How to fill out Harassment Incident Report Form

1. Obtain a copy of the Harassment Incident Report Form from your organization.
2. Fill out the date and time of the incident at the top of the form.
3. Provide your personal information, including your name, contact information, and position.
4. Describe the incident in detail, including the location, the individuals involved, and what occurred.
5. Include any witnesses' names and contact information if available.
6. Attach any relevant documents or evidence, such as emails or messages.
7. Sign and date the form to verify the information provided.
8. Submit the completed form to the appropriate department or personnel as instructed by your organization.

Who needs Harassment Incident Report Form?

1. Any employee who has experienced or witnessed harassment in the workplace.
2. Human resources personnel who are responsible for handling harassment complaints.
3. Management team members who must investigate harassment claims.
4. Organizations committed to maintaining a safe and respectful work environment.

People Also Ask about

How to write an incident report for harassment?

What to include in a work incident report The date and time of the incident. The name of the witness or author of the report. A detailed description of the events. The names of the affected parties. Other witness statements or important information. The result of the incident.

What is an example of a harassing message?

A "harassing" telephone call/text message/e-mail is one in which the caller/sender has a clear intent to disturb or alarm the person receiving the call. Continuous calling without speaking, obscene calls/text messages/e-mails, heavy breathing, and threats are examples of telephone harassment.

Which are examples of possible harassment?

Offensive conduct may include, but is not limited to, offensive jokes, slurs, epithets or name calling, physical assaults or threats, intimidation, ridicule or mockery, insults or put-downs, offensive objects or pictures, and interference with work performance.

How do I write a statement about a harassment?

Describe the bullying and harassment incident in detail. Include details about: • behaviour/s • word/s used • tone • actions of the alleged perpetrator. Actions taken by me: Describe what actions you took at the time of the incident.

What words are considered harassment?

In some cases, they may be libelous or insulting. In addition, words that discriminate against a person's sexual orientation, gender identity, or nationality are considered power harassment. As an example, words such as "Don't you understand Japanese?" should not be used.

What to say when reporting harassment?

Report what the harasser did to you, then tell the company how the harasser made you feel (In That Order). Make your report in writing (or email) and create the paper trail! Keep copies of your written complaints!

What are examples of harassment statements?

5. Verbal Harassment Offensive gestures. Demeaning remarks. Unreasonable criticism. Insults. Slurs. Hurtful comments. Unwanted jokes. Gossiping and starting rumors.

How do you write a harassment statement?

Describe the bullying and harassment incident in detail. Include details about: • behaviour/s • word/s used • tone • actions of the alleged perpetrator. Actions taken by me: Describe what actions you took at the time of the incident.

For pdfFiller’s FAQs

What is Harassment Incident Report Form?

The Harassment Incident Report Form is a document used to formally report instances of harassment within an organization. It serves as a means to document specific incidents, the individuals involved, and any witnesses, helping to initiate appropriate response and investigation.

Who is required to file Harassment Incident Report Form?

Any individual who has experienced or witnessed harassment within the organization is encouraged to file a Harassment Incident Report Form. This includes employees, contractors, and volunteers.

How to fill out Harassment Incident Report Form?

To fill out the Harassment Incident Report Form, individuals should provide detailed information about the incident including the date, time, location, involved parties, a description of the behavior, and any witnesses. It is important to be as clear and specific as possible.

What is the purpose of Harassment Incident Report Form?

The purpose of the Harassment Incident Report Form is to formally document harassment incidents to ensure they are addressed properly. It helps the organization to take action, maintain a safe environment, and comply with legal obligations.

What information must be reported on Harassment Incident Report Form?

The information that must be reported on the Harassment Incident Report Form includes the date and time of the incident, the location, names of the individuals involved, a detailed description of the incident, and names of any witnesses.